MEDICARE: VIN JAC TAXI 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		NY

General Provider Information

NPI Number	:	1386722890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIN JAC TAXI CORP

Provider Business Mailing Address
First Line	:	26412 HILLSIDE AVE
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11004-1738
Country	:	US
Telephone Number	:	718-347-3222
Fax Number	:	718-347-7552

Provider Business Practice Location Address
First Line	:	26412 HILLSIDE AVE
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11004-1738
Country	:	US
Telephone Number	:	718-347-3222
Fax Number	:	718-347-7552

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MRS. LUCILLE GOLDFINE
Credential	:
Telephone Number	:	718-347-3222

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	06/16/2008

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