PHOENIX TRANSPORT CORPORATION DBA; NPI #1073546206

Contact Information

PHOENIX TRANSPORT CORPORATION DBA

1580 OCEAN AVE
BOHEMIA, NY 11716-1916

Phone: 631-244-0280
Fax: 631-244-0286
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for PHOENIX TRANSPORT CORPORATION DBA

NPI # 1073546206

LBN Legal business name PHOENIX TRANSPORT CORPORATION DBA

Authorized official JOHN MARTORANO - (BILLING SUPERVISOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/09/2006

Last updated 12/18/2007 - About 18 years ago

Identifiers

NY	License #	10122
NY	Medicaid	02099470

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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PHOENIX TRANSPORT CORPORATION DBA

Contact Information

Specialty

Ambulance

NPI Profile & details for PHOENIX TRANSPORT CORPORATION DBA

Reviews for PHOENIX TRANSPORT CORPORATION DBA