MEDICARE: 510 CAR SERVICE CORP

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	B00948	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1376036905
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	510 CAR SERVICE CORP

Provider Business Mailing Address
First Line	:	2225 PITKIN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-3659
Country	:	US
Telephone Number	:	718-485-1444
Fax Number	:	718-485-0244

Provider Business Practice Location Address
First Line	:	2225 PITKIN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-3659
Country	:	US
Telephone Number	:	718-485-1444
Fax Number	:	718-485-0244

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. ERNESTO ANDERSON
Credential	:
Telephone Number	:	718-485-1444

Provider Enumeration Date	:	06/08/2018
Last Update Date	:	06/08/2018

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Directions to “510 CAR SERVICE CORP ” Practice Location

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