Provider Demographics
NPI:1750606620
Name:HIGHLAND TRANSIT CORP
Entity type:Organization
Organization Name:HIGHLAND TRANSIT CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HAMED
Authorized Official - Middle Name:S
Authorized Official - Last Name:NAFA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-809-5181
Mailing Address - Street 1:3315 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-3847
Mailing Address - Country:US
Mailing Address - Phone:845-809-5181
Mailing Address - Fax:845-265-7655
Practice Address - Street 1:3315 ROUTE 9
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-3847
Practice Address - Country:US
Practice Address - Phone:845-809-5181
Practice Address - Fax:845-265-7655
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-02
Last Update Date:2010-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY425351384347E00000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No347E00000XTransportation ServicesTransportation Broker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01488522Medicaid