Provider Demographics
NPI:1841478690
Name:FACILITY TRANSPORT SOLUTIONS INC
Entity type:Organization
Organization Name:FACILITY TRANSPORT SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GIL
Authorized Official - Middle Name:
Authorized Official - Last Name:AMADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-674-2300
Mailing Address - Street 1:19 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-2546
Mailing Address - Country:US
Mailing Address - Phone:516-674-2300
Mailing Address - Fax:516-676-3777
Practice Address - Street 1:19 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-2546
Practice Address - Country:US
Practice Address - Phone:516-674-2300
Practice Address - Fax:516-676-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY35585344600000X, 343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02927640Medicaid