MEDICARE: PIA CAR 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
1	344600000X	Taxi	B02346	NY

General Provider Information

NPI Number	:	1831475201
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PIA CAR LIMO

Provider Business Mailing Address
First Line	:	1131 CONEY ISLAND AVENUE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230
Country	:	US
Telephone Number	:	718-859-0100
Fax Number	:	718-859-6789

Provider Business Practice Location Address
First Line	:	1131 CONEY ISLAND AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11230-2305
Country	:	US
Telephone Number	:	718-859-0100
Fax Number	:	718-859-6789

Authorized Official
Title or Position	:	VICE-PRESIDENT
Name	:	MRS. JENNY ANNE AHMED
Credential	:
Telephone Number	:	718-859-0100

Provider Enumeration Date	:	10/28/2011
Last Update Date	:	10/28/2011

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Directions to “PIA CAR LIMO ” Practice Location

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