Organization
MEGA LINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFI GAVRIELOV (PRESIDENT)
(718) 639-0200
Entity
Organization
Contact information
Practice address
6129 WOODHAVEN BLVD, REGO PARK, NY 11374-2739
(718) 639-0200
(718) 507-1617
Mailing address
6129 WOODHAVEN BLVD, REGO PARK, NY 11374-2739
(718) 639-0200
(718) 507-1617
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
B90648
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02948263
—
NY
Enumeration date
03/27/2008
Last updated
03/27/2008
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