Provider Demographics
NPI:1871965863
Name:FAMILY BOND TRANSPORTATION
Entity type:Organization
Organization Name:FAMILY BOND TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LACHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:FELDER-COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-726-4435
Mailing Address - Street 1:219 W PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13205-1759
Mailing Address - Country:US
Mailing Address - Phone:315-726-4435
Mailing Address - Fax:
Practice Address - Street 1:219 W PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13205-1759
Practice Address - Country:US
Practice Address - Phone:315-726-4435
Practice Address - Fax:315-455-5239
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-29
Last Update Date:2015-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)