Healthcare Provider Details

I. General information

NPI: 1124593157
Provider Name (Legal Business Name): ARRIVE CAR SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2018
Last Update Date: 10/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 LILLIAN ST
POMONA NY
10970-2626
US

IV. Provider business mailing address

63 LILLIAN ST
POMONA NY
10970-2626
US

V. Phone/Fax

Practice location:
  • Phone: 845-327-8888
  • Fax:
Mailing address:
  • Phone: 845-327-8888
  • 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

VIII. Authorized Official

Name: JONATHAN SOLIS
Title or Position: OWNER
Credential:
Phone: 845-327-8888