Provider Demographics
NPI:1447675475
Name:MOORE'S MEDICAL TRANSPORTATION CORP.
Entity type:Organization
Organization Name:MOORE'S MEDICAL TRANSPORTATION CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF INFORMATION OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:TIRU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-376-1700
Mailing Address - Street 1:891 MILE SQUARE RD
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10704-2145
Mailing Address - Country:US
Mailing Address - Phone:914-376-1700
Mailing Address - Fax:
Practice Address - Street 1:891 MILE SQUARE RD
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10704-2145
Practice Address - Country:US
Practice Address - Phone:914-376-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-27
Last Update Date:2014-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02934307Medicaid