Provider Demographics
NPI:1053541615
Name:NEW AMERICAN CAR & LIMOUSINE SERVICE INC.
Entity type:Organization
Organization Name:NEW AMERICAN CAR & LIMOUSINE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IZOR
Authorized Official - Middle Name:
Authorized Official - Last Name:VAYNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-972-7979
Mailing Address - Street 1:221 DITMAS AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-4903
Mailing Address - Country:US
Mailing Address - Phone:718-972-7979
Mailing Address - Fax:718-972-6065
Practice Address - Street 1:221 DITMAS AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4903
Practice Address - Country:US
Practice Address - Phone:718-972-7979
Practice Address - Fax:718-972-6065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02148832Medicaid