MEDICARE: BQN CAR SERVICE 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	343800000X	Secured Medical Transport (VAN)	B01051	NY
2	344600000X	Taxi	B01051	NY
3	343900000X	Non-emergency Medical Transport (VAN)	B01051	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	:	1487021135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BQN CAR SERVICE CORP

Provider Business Mailing Address
First Line	:	1106 GARRISON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10474-4601
Country	:	US
Telephone Number	:	718-328-5510
Fax Number	:	718-328-9185

Provider Business Practice Location Address
First Line	:	1106 GARRISON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10474-4601
Country	:	US
Telephone Number	:	718-328-5510
Fax Number	:	718-328-9185

Authorized Official
Title or Position	:	PRESIDENT
Name	:	JOSE L GARCIA
Credential	:
Telephone Number	:	718-328-5510

Provider Enumeration Date	:	08/28/2015
Last Update Date	:	08/28/2015

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Directions to “BQN CAR SERVICE CORP ” Practice Location

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