Provider Demographics
NPI:1952464364
Name:ATTICA BUS SERVICE, INC.
Entity Type:Organization
Organization Name:ATTICA BUS SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-591-2107
Mailing Address - Street 1:949 CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ATTICA
Mailing Address - State:NY
Mailing Address - Zip Code:14011-9613
Mailing Address - Country:US
Mailing Address - Phone:585-591-2107
Mailing Address - Fax:585-591-1395
Practice Address - Street 1:949 CREEK RD
Practice Address - Street 2:
Practice Address - City:ATTICA
Practice Address - State:NY
Practice Address - Zip Code:14011-9613
Practice Address - Country:US
Practice Address - Phone:585-591-2107
Practice Address - Fax:585-591-1395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01226333Medicaid