Provider Demographics
NPI:1871979690
Name:MAZZ TRANSPORTATION INC
Entity type:Organization
Organization Name:MAZZ TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAJI
Authorized Official - Middle Name:J
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-274-8900
Mailing Address - Street 1:19 JEAN LN
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-1215
Mailing Address - Country:US
Mailing Address - Phone:914-274-8900
Mailing Address - Fax:914-274-8898
Practice Address - Street 1:19 JEAN LN
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-1215
Practice Address - Country:US
Practice Address - Phone:914-274-8900
Practice Address - Fax:914-274-8898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03821941343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)