Healthcare Provider Details

I. General information

NPI: 1104407014
Provider Name (Legal Business Name): EDL TRANSPORTATION SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/21/2021
Last Update Date: 04/21/2021
Certification Date: 04/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

169 LINCOLN AVE STE 205
BRONX NY
10454-3730
US

IV. Provider business mailing address

169 LINCOLN AVE STE 205
BRONX NY
10454-3730
US

V. Phone/Fax

Practice location:
  • Phone: 347-270-1668
  • Fax: 347-726-4179
Mailing address:
  • Phone: 347-270-1668
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: YRMA A RAPOSO SANCHEZ
Title or Position: VICE-PRESIDENT
Credential:
Phone: 347-626-5997