MEDICARE: KING SOLOMON LIMOUSINE CORP

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

General Provider Information

NPI Number	:	1386490191
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KING SOLOMON LIMOUSINE CORP

Provider Business Mailing Address
First Line	:	272 E 98TH ST APT 2F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-3911
Country	:	US
Telephone Number	:	973-517-1099
Fax Number	:

Provider Business Practice Location Address
First Line	:	272 E 98TH ST APT 2F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11212-3911
Country	:	US
Telephone Number	:	973-517-1099
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SOLOMON IKPONMWONSA
Credential	:
Telephone Number	:	973-517-1099

Provider Enumeration Date	:	04/24/2024
Last Update Date	:	04/24/2024

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Directions to “KING SOLOMON LIMOUSINE CORP ” Practice Location

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