Provider Demographics
NPI:1245736347
Name:SEAGULL RIDE CORP
Entity Type:Organization
Organization Name:SEAGULL RIDE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:VYACHESLAV
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHITOMIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-757-7731
Mailing Address - Street 1:2692 CONEY ISLAND AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-5005
Mailing Address - Country:US
Mailing Address - Phone:718-743-3300
Mailing Address - Fax:
Practice Address - Street 1:2692 CONEY ISLAND AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-5005
Practice Address - Country:US
Practice Address - Phone:718-743-3300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi