Provider Demographics
NPI:1093016065
Name:ULTRA RADIO DISPATCHER INC.
Entity Type:Organization
Organization Name:ULTRA RADIO DISPATCHER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:LARA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-992-9162
Mailing Address - Street 1:277 E 165TH ST
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-6012
Mailing Address - Country:US
Mailing Address - Phone:718-992-9162
Mailing Address - Fax:718-537-0188
Practice Address - Street 1:277 E 165TH ST
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-6012
Practice Address - Country:US
Practice Address - Phone:718-992-9162
Practice Address - Fax:718-537-0188
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-08
Last Update Date:2010-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB01145344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi