Provider Demographics
NPI:1083118384
Name:3 AMIGOS TAXI & LIMOUSINE, INC.
Entity Type:Organization
Organization Name:3 AMIGOS TAXI & LIMOUSINE, INC.
Other - Org Name:ARIMA TAXI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALGERNON
Authorized Official - Middle Name:ANTHONY, STEPHEN
Authorized Official - Last Name:WALLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-334-9572
Mailing Address - Street 1:4 DENMARK CT
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:11743-4734
Mailing Address - Country:US
Mailing Address - Phone:631-334-9572
Mailing Address - Fax:631-629-6945
Practice Address - Street 1:68 S SERVICE RD STE 100
Practice Address - Street 2:
Practice Address - City:MELVILLE
Practice Address - State:NY
Practice Address - Zip Code:11747-2350
Practice Address - Country:US
Practice Address - Phone:631-629-2493
Practice Address - Fax:631-629-6945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi