Organization
PRIVATE ESCORT SERVICE INC.
Active
Other names
Brooklyn Express
Organization subpart
No
Provider details
NPI number
Authorized official
EVERETT BRELAND (PRESIDENT)
(718) 629-6520
Entity
Organization
Contact information
Practice address
1261 RALPH AVE, BROOKLYN, NY 11236-1415
(718) 629-6520
(718) 629-6524
Mailing address
1261 RALPH AVE, BROOKLYN, NY 11236-1415
(718) 629-6520
(718) 629-6524
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
29953
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00813061
—
NY
Enumeration date
12/02/2006
Last updated
08/22/2020
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