Provider Demographics
NPI:1760213219
Name:BIN, IVO W
Entity type:Individual
Prefix:
First Name:IVO
Middle Name:W
Last Name:BIN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 N CENTER ST # 2
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-2849
Mailing Address - Country:US
Mailing Address - Phone:201-850-2736
Mailing Address - Fax:
Practice Address - Street 1:191 N CENTER ST # 2
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-2849
Practice Address - Country:US
Practice Address - Phone:201-850-2736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-07
Last Update Date:2024-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)