Organization
CLAY TRANSPORTATION INC
Active
Other names
BLACK CAR SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN PENA (PRESIDENT)
(718) 710-0953
Entity
Organization
Contact information
Practice address
1831 GRAND CONCOURSE FRNT C, BRONX, NY 10453-6324
(718) 942-5544
Mailing address
1831 GRAND CONCOURSE FRNT C, BRONX, NY 10453-6324
(718) 942-5544
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
B03123
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04026528
—
NY
Enumeration date
08/21/2018
Last updated
08/21/2018
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