Provider Demographics
NPI:1033993316
Name:A1 TRANSPORTATION NYC LLC
Entity type:Organization
Organization Name:A1 TRANSPORTATION NYC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DERON
Authorized Official - Middle Name:J
Authorized Official - Last Name:LORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-874-0614
Mailing Address - Street 1:10201 FLATLANDS AVE NO 0234
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-9997
Mailing Address - Country:US
Mailing Address - Phone:347-874-0614
Mailing Address - Fax:
Practice Address - Street 1:10201 FLATLANDS AVE NO 0234
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236
Practice Address - Country:US
Practice Address - Phone:
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)