Provider Demographics
NPI:1053774943
Name:FRIENDLY BEST-WAY TRANSPORTATION, INC.
Entity type:Organization
Organization Name:FRIENDLY BEST-WAY TRANSPORTATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SHLOMO
Authorized Official - Middle Name:
Authorized Official - Last Name:FURMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-252-6363
Mailing Address - Street 1:1448 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-4714
Mailing Address - Country:US
Mailing Address - Phone:718-252-6363
Mailing Address - Fax:
Practice Address - Street 1:1448 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-4714
Practice Address - Country:US
Practice Address - Phone:718-252-6363
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03794621Medicaid