Provider Demographics
NPI:1861246217
Name:MOUNTAIN TOP TRANSPORTATION LLC
Entity type:Organization
Organization Name:MOUNTAIN TOP TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OWAS
Authorized Official - Middle Name:
Authorized Official - Last Name:KHURSHID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:478-997-0053
Mailing Address - Street 1:81 BERKMAN DR BLDG 14
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10941-1253
Mailing Address - Country:US
Mailing Address - Phone:478-997-0053
Mailing Address - Fax:
Practice Address - Street 1:81 BERKMAN DR BLDG 14
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-1253
Practice Address - Country:US
Practice Address - Phone:478-997-0053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)