Organization
DELUX CAR SERVICE
Active
Other names
Palm tree car service
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IRAKLI KOKRASHVILI (OWNER)
(908) 240-4099
Entity
Organization
Contact information
Practice address
16 LAKE ST, MONROE, NY 10950-3548
(845) 863-3322
Mailing address
16 LAKE ST, MONROE, NY 10950-3548
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
344600000X
Taxi
—
—
347C00000X
Private Vehicle
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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