Healthcare Provider Details

I. General information

NPI: 1871273060
Provider Name (Legal Business Name): SPACELINKS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2023
Last Update Date: 04/06/2025
Certification Date: 04/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

136 MADISON AVE # 563D
NEW YORK NY
10016-6711
US

IV. Provider business mailing address

136 MADISON AVE # 563D
NEW YORK NY
10016-6711
US

V. Phone/Fax

Practice location:
  • Phone: 212-540-7420
  • Fax:
Mailing address:
  • Phone: 212-540-7420
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State

VIII. Authorized Official

Name: RYAN W
Title or Position: ADMINISTRATOR
Credential:
Phone: 212-540-7420