MEDICARE: G.A.L. LIMO SERVICE 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	B01231	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124148580
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	G.A.L. LIMO SERVICE INC.

Provider Business Mailing Address
First Line	:	6623 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-5859
Country	:	US
Telephone Number	:	718-921-4848
Fax Number	:	718-947-0353

Provider Business Practice Location Address
First Line	:	6623 FORT HAMILTON PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-5859
Country	:	US
Telephone Number	:	718-921-4848
Fax Number	:	718-947-0353

Authorized Official
Title or Position	:	MANANGER
Name	:	MISS REGINA GRANOVSKY
Credential	:
Telephone Number	:	718-921-4848

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	08/22/2020

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