Healthcare Provider Details

I. General information

NPI: 1700771326
Provider Name (Legal Business Name): COOL TAXI VIP LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2025
Last Update Date: 06/12/2025
Certification Date: 06/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

430 E 138TH ST
BRONX NY
10454-4944
US

IV. Provider business mailing address

430 E 138TH ST
BRONX NY
10454-4944
US

V. Phone/Fax

Practice location:
  • Phone: 718-737-4384
  • Fax:
Mailing address:
  • Phone: 718-737-4384
  • 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: ALFREDO ZAMBRANO
Title or Position: OWNER
Credential:
Phone: 718-737-4384