Healthcare Provider Details

I. General information

NPI: 1700422615
Provider Name (Legal Business Name): LLAMA LIMO CAR SERVICE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/26/2019
Last Update Date: 11/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

49 W 170TH ST
BRONX NY
10452-3246
US

IV. Provider business mailing address

49 W 170TH ST
BRONX NY
10452-3246
US

V. Phone/Fax

Practice location:
  • Phone: 718-538-6000
  • Fax:
Mailing address:
  • Phone: 718-538-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MISS ZIHAN LU
Title or Position: PRESIDENT
Credential:
Phone: 718-844-8684