Provider Demographics
NPI:1114371044
Name:BOULEVARD OPERATING INC
Entity Type:Organization
Organization Name:BOULEVARD OPERATING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:TONY
Authorized Official - Middle Name:
Authorized Official - Last Name:FERRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:178-846-4091
Mailing Address - Street 1:12211 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1817
Mailing Address - Country:US
Mailing Address - Phone:718-846-4091
Mailing Address - Fax:718-805-0166
Practice Address - Street 1:122-11 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:JAMAICA
Practice Address - State:NY
Practice Address - Zip Code:11418
Practice Address - Country:US
Practice Address - Phone:718-846-4091
Practice Address - Fax:718-805-0166
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi