Organization
3210 WEBSTER AVE PRESTIGE CAR SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIX Z MEDRANO (MANAGER)
(718) 654-3852
Entity
Organization
Contact information
Practice address
3108 WEBSTER AVENUE, BRONX, NY 10467
(718) 654-3852
Mailing address
3108 WEBSTER AVE, BRONX, NY 10467-4902
(718) 654-3852
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
B01338
NY
344600000X
Taxi
Primary
B01338
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04114178
ETIN
NY
Enumeration date
09/22/2016
Last updated
09/22/2016
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