Healthcare Provider Details

I. General information

NPI: 1588997720
Provider Name (Legal Business Name): EASY CARRY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2009
Last Update Date: 05/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 FORT LEE RD
LEONIA NJ
07605-2216
US

IV. Provider business mailing address

131 FORT LEE RD
LEONIA NJ
07605-2216
US

V. Phone/Fax

Practice location:
  • Phone: 201-944-4224
  • Fax: 201-944-4202
Mailing address:
  • Phone: 201-944-4224
  • Fax: 201-944-4202

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License NumberE242013
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MR. MUNR KAZMIR
Title or Position: CEO
Credential:
Phone: 201-944-4224