Healthcare Provider Details

I. General information

NPI: 1871219097
Provider Name (Legal Business Name): REAL GUIDE LIMITED LIABILITY COPMANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2022
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

166 WINNIKEE AVE APT 3
POUGHKEEPSIE NY
12601-2755
US

IV. Provider business mailing address

166 WINNIKEE AVE APT 3
POUGHKEEPSIE NY
12601-2755
US

V. Phone/Fax

Practice location:
  • Phone: 347-256-0663
  • Fax:
Mailing address:
  • Phone: 347-256-0663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code344600000X
TaxonomyTaxi
License Number
License Number State

VIII. Authorized Official

Name: MOHSIN GUIDE LIMITED LIABIL SHAHZAD
Title or Position: MANEGER AND OWNER
Credential:
Phone: 347-256-0663