Provider Demographics
NPI:1295961217
Name:NORTHEAST TRANSPORT SERVICES INC
Entity type:Organization
Organization Name:NORTHEAST TRANSPORT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ARDEN
Authorized Official - Middle Name:RAYMOND
Authorized Official - Last Name:SIMMONS
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:845-758-5050
Mailing Address - Street 1:PO BOX 99
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-0099
Mailing Address - Country:US
Mailing Address - Phone:845-758-5050
Mailing Address - Fax:845-758-5005
Practice Address - Street 1:54 ELIZABETH ST STE 12
Practice Address - Street 2:
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-1722
Practice Address - Country:US
Practice Address - Phone:845-758-5050
Practice Address - Fax:845-758-5005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-04
Last Update Date:2009-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY36767343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)