MEDICARE: EFFICA TRANSPORT INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	344600000X	Taxi		NY

General Provider Information

NPI Number	:	1013234038
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EFFICA TRANSPORT INC.

Provider Business Mailing Address
First Line	:	2286 SEDGWICK AVE
Second Line	:	SUITE 2
City	:	BRONX
State	:	NY
Zip	:	10468-5701
Country	:	US
Telephone Number	:	718-220-1462
Fax Number	:	646-401-9955

Provider Business Practice Location Address
First Line	:	2286 SEDGWICK AVE
Second Line	:	SUITE 2
City	:	BRONX
State	:	NY
Zip	:	10468-5701
Country	:	US
Telephone Number	:	718-220-1462
Fax Number	:	646-401-9955

Authorized Official
Title or Position	:	PRESIDENT/OWNER
Name	:	MR. ANGEL AQUINO
Credential	:
Telephone Number	:	718-220-1462

Provider Enumeration Date	:	04/29/2010
Last Update Date	:	04/29/2010

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