Provider Demographics
NPI:1831601632
Name:BLUE EAGLE TRANSPORTATION SERVICE
Entity type:Organization
Organization Name:BLUE EAGLE TRANSPORTATION SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:ROSANNA
Authorized Official - Middle Name:JEANNETTE
Authorized Official - Last Name:ALAYON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-232-1165
Mailing Address - Street 1:325 SOUNDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10473-3019
Mailing Address - Country:US
Mailing Address - Phone:718-483-8388
Mailing Address - Fax:
Practice Address - Street 1:325 SOUNDVIEW AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-3019
Practice Address - Country:US
Practice Address - Phone:718-483-8388
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-02
Last Update Date:2019-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)