Healthcare Provider Details

I. General information

NPI: 1386916930
Provider Name (Legal Business Name): ZIPCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2012
Last Update Date: 01/29/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2360 CORPORATE CIR SUITE 400
HENDERSON NV
89074-7707
US

IV. Provider business mailing address

1110 TELLER AVE 5-C
BRONX NY
10456-5228
US

V. Phone/Fax

Practice location:
  • Phone: 646-895-1413
  • Fax:
Mailing address:
  • Phone: 646-895-1413
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License NumberWAITING BUS. LIC
License Number StateNV

VIII. Authorized Official

Name: MRS. NICOLE ZAYAS
Title or Position: DE
Credential: ADM.
Phone: 646-895-1413