Individual
MR. ENRIQUE R SIMBANA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CITYLINE CAR SERVICE
Contact information
Practice address
8006 101ST AVE, OZONE PARK, NY 11416-1939
(718) 848-5555
Mailing address
8006 101ST AVE, OZONE PARK, NY 11416-1939
(718) 848-5555
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
B01553
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05683821
—
NY
Enumeration date
10/21/2019
Last updated
10/21/2019
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