Healthcare Provider Details

I. General information

NPI: 1083436406
Provider Name (Legal Business Name): RIDECO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2024
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1777 OCEAN PARKWAY APT 502
BROOKLYN NY
11223
US

IV. Provider business mailing address

1777 OCEAN PARKWAY APT 502
BROOKLYN NY
11223
US

V. Phone/Fax

Practice location:
  • Phone: 347-772-9106
  • Fax:
Mailing address:
  • Phone: 347-772-9106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: BEKHRUZ BAZAROV
Title or Position: PRESIDENT
Credential: MLS ASCP
Phone: 347-772-9106