MEDICARE: NY88 EXPRESS 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	B01984	NY

General Provider Information

NPI Number	:	1932524733
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NY88 EXPRESS CORP

Provider Business Mailing Address
First Line	:	6420 11TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-5639
Country	:	US
Telephone Number	:	718-238-8822
Fax Number	:

Provider Business Practice Location Address
First Line	:	6420 11TH AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11219-5639
Country	:	US
Telephone Number	:	718-238-8822
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MEI DAN ZHEN
Credential	:
Telephone Number	:	718-238-8822

Provider Enumeration Date	:	03/03/2014
Last Update Date	:	03/17/2014

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