11:11 TRANSPORTATION CORP NPI 1124610308

NPI Information

NPI: 1124610308
Provider Name: 11:11 TRANSPORTATION CORP
Classification: Private Vehicle - 347C00000X
Entity Type: Organization
Address:
263 N BALLSTON AVE # 1
SCOTIA, NY
ZIP 12302
Phone: (518) 605-7811
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11:11 TRANSPORTATION CORP is a private vehicle in Scotia, NY. The provider is an individual paid to provide non-emergency transportation using their privately owned/leased vehicle. 11:11 TRANSPORTATION CORP NPI is 1124610308. The provider is registered as an organization entity type.

The provider's business location address is:

263 N BALLSTON AVE # 1
SCOTIA, NY
ZIP 12302-445
Phone: (518) 605-7811
Fax: (518) 730-0371

The provider's authorized official is Nuriddin Abdel Rashed .
The authorized official title is President and has the following contact phone number (518) 605-7811.

The enumeration date for this NPI number is 2/9/2021 and was last updated on 2/17/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	347C00000X	Private Vehicle				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	04604037	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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