Provider Demographics
NPI:1528422839
Name:NEW IMAGE TRANSPORTATION, CAR AND LIMOUSINE SERVICES, LLC
Entity type:Organization
Organization Name:NEW IMAGE TRANSPORTATION, CAR AND LIMOUSINE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RITCHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:TYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-479-8703
Mailing Address - Street 1:1226 E 84TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-4912
Mailing Address - Country:US
Mailing Address - Phone:646-479-8703
Mailing Address - Fax:718-209-0847
Practice Address - Street 1:1226 E 84TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-4912
Practice Address - Country:US
Practice Address - Phone:646-479-8703
Practice Address - Fax:718-209-0847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5382725343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)