Provider Demographics
NPI:1881930089
Name:MONTAUK BUS SERVICE, INC
Entity type:Organization
Organization Name:MONTAUK BUS SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PLOURDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-874-5300
Mailing Address - Street 1:209 WADING RIVER RD
Mailing Address - Street 2:
Mailing Address - City:CENTER MORICHES
Mailing Address - State:NY
Mailing Address - Zip Code:11934-1000
Mailing Address - Country:US
Mailing Address - Phone:631-874-5300
Mailing Address - Fax:631-874-6940
Practice Address - Street 1:209 WADING RIVER RD
Practice Address - Street 2:
Practice Address - City:CENTER MORICHES
Practice Address - State:NY
Practice Address - Zip Code:11934-1000
Practice Address - Country:US
Practice Address - Phone:631-874-5300
Practice Address - Fax:631-874-6940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-17
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)