11:11 Transportation Corp
Organization Active NPI Private Vehicle · Scotia, NY
NPI 1124610308 · NPPES record last updated Feb 17, 2021
Key facts
- NPI
- 1124610308
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Private Vehicle 347C00000X
- Legal business name
- 11:11 TRANSPORTATION CORP
- Practice address
- 263 N Ballston Ave # 1
Scotia, NY 12302-2445 - Phone
- (518) 605-7811
- Fax
- (518) 730-0371
- NPI assigned
- Feb 9, 2021
- Organization subpart
- No
Authorized official
- Name
- Nuriddin Abdel Rashed
- Title
- President
- Phone
- (518) 605-7811
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | Yes |
Addresses
Primary practice location
263 N Ballston Ave # 1
Scotia, NY 12302-2445
Mailing address
263 N Ballston Ave # 1
Scotia, NY 12302-2445
Phone (518) 605-7811
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04604037 | Medicaid | NY |
Other providers in Scotia, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.