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NPI Code Detail

MEDICARE: EXCELLENT CAR AND LIMO

MEDICARE: EXCELLENT CAR AND LIMO
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
1344600000XTaxi

General Provider Information

NPI Number : 1023563434
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCELLENT CAR AND LIMO
Provider Business Mailing Address
First Line : 144 E 174TH ST
Second Line :
City : BRONX
State : NY
Zip : 10457-6904
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 144 E 174TH ST
Second Line :
City : BRONX
State : NY
Zip : 10457-6904
Country : US
Telephone Number : 718-731-1111
Fax Number :
Authorized Official
Title or Position : OWNER
Name : ALEX MERCEDES
Credential :
Telephone Number : 347-891-1447
Provider Enumeration Date : 08/16/2016
Last Update Date : 08/16/2016

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Directions to “EXCELLENT CAR AND LIMO ” Practice Location

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