MEDICARE: ASCONA CAR SERVICE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	344600000X	Taxi	B01987	NY

General Provider Information

NPI Number	:	1164625885
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCONA CAR SERVICE, INC.

Provider Business Mailing Address
First Line	:	1260 AVENUE Y APT 1A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-4206
Country	:	US
Telephone Number	:	718-336-5353
Fax Number	:

Provider Business Practice Location Address
First Line	:	1260 AVENUE Y APT 1A
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-4206
Country	:	US
Telephone Number	:	718-336-5353
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARK KARNOVSKY
Credential	:
Telephone Number	:	718-336-5353

Provider Enumeration Date	:	06/08/2007
Last Update Date	:	08/22/2020

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