Provider Demographics
NPI:1043076227
Name:AMERICAN EXPRESS LIMO INC.
Entity Type:Organization
Organization Name:AMERICAN EXPRESS LIMO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CTO
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KRISS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-542-0224
Mailing Address - Street 1:9 WHISPERING WOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:MONROE TOWNSHIP
Mailing Address - State:NJ
Mailing Address - Zip Code:08831-4063
Mailing Address - Country:US
Mailing Address - Phone:212-542-0224
Mailing Address - Fax:
Practice Address - Street 1:653 E 5TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-4915
Practice Address - Country:US
Practice Address - Phone:212-542-0224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)