MEDICARE: TEL-A-CAR OF NEW YORK, LLC

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	:	1811227986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEL-A-CAR OF NEW YORK, LLC

Provider Business Mailing Address
First Line	:	3055 VERNON BLVD
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11102-4025
Country	:	US
Telephone Number	:	718-956-9111
Fax Number	:

Provider Business Practice Location Address
First Line	:	3055 VERNON BLVD
Second Line	:
City	:	LONG ISLAND CITY
State	:	NY
Zip	:	11102-4025
Country	:	US
Telephone Number	:	718-956-9111
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. JAN VOLPER
Credential	:
Telephone Number	:	718-956-9111

Provider Enumeration Date	:	01/12/2010
Last Update Date	:	01/12/2010

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