Organization
LLSC LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL VILLANOVA (SECRETARY)
(914) 737-8484
Entity
Organization
Contact information
Practice address
200 N WATER ST, SIDE ENTRANCE, PEEKSKILL, NY 10566-2057
(914) 737-8484
(914) 737-2089
Mailing address
200 N WATER ST, SIDE ENTRANCE, PEEKSKILL, NY 10566-2057
(914) 737-8484
(914) 737-2089
Taxonomy
Speciality
Code
Description
License number
State
344600000X
Taxi
Primary
02187680
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02187680
—
NY
05
—
344600000X
—
NY
Enumeration date
05/14/2008
Last updated
05/14/2008
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