Organization
PREMIUM BRONX CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASTOR ALVAREZ (MANAGER)
(718) 620-2020
Entity
Organization
Contact information
Practice address
900 E TREMONT AVE, BRONX, NY 10460-4355
(718) 620-2020
(347) 498-1751
Mailing address
900 E TREMONT AVE, BRONX, NY 10460-4355
(718) 620-2020
(347) 498-1751
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
B00457
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04009674
—
NY
Enumeration date
12/20/2016
Last updated
12/20/2016
Update your record
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