Healthcare Provider Details

I. General information

NPI: 1861912362
Provider Name (Legal Business Name): ALLTOWN LIMO CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/26/2017
Last Update Date: 07/21/2022
Certification Date: 01/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 W 231ST ST
BRONX NY
10463-5302
US

IV. Provider business mailing address

244 W 231ST ST
BRONX NY
10463-5357
US

V. Phone/Fax

Practice location:
  • Phone: 718-543-7777
  • Fax: 718-543-7780
Mailing address:
  • Phone: 718-543-7777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License NumberB02537
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License NumberB02537
License Number StateNY

VIII. Authorized Official

Name: ANTONIO RODRIGUEZ
Title or Position: MANAGER OF OPERATIONS
Credential:
Phone: 718-543-7771