Provider Demographics
NPI:1912608472
Name:2 MARIES TRANSPORTATION SERVICE LLC
Entity Type:Organization
Organization Name:2 MARIES TRANSPORTATION SERVICE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHOULDERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-726-9345
Mailing Address - Street 1:90 STATE ST STE OFFICE40
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12207-1715
Mailing Address - Country:US
Mailing Address - Phone:347-726-9345
Mailing Address - Fax:
Practice Address - Street 1:1574 CROTONA PARK E
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10460-4806
Practice Address - Country:US
Practice Address - Phone:347-726-9345
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle
No344600000XTransportation ServicesTaxi