Provider Demographics
NPI:1326576414
Name:AMS BUSINESS DEAL CORPORATION
Entity Type:Organization
Organization Name:AMS BUSINESS DEAL CORPORATION
Other - Org Name:STARLIGHT TAXI & LIMOSINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING & CONTRACTS CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:AVA
Authorized Official - Middle Name:LEILA
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-369-7777
Mailing Address - Street 1:155 RAILROAD ST
Mailing Address - Street 2:
Mailing Address - City:RIVERHEAD
Mailing Address - State:NY
Mailing Address - Zip Code:11901-3024
Mailing Address - Country:US
Mailing Address - Phone:631-369-7777
Mailing Address - Fax:631-369-7776
Practice Address - Street 1:155 RAILROAD ST
Practice Address - Street 2:
Practice Address - City:RIVERHEAD
Practice Address - State:NY
Practice Address - Zip Code:11901-3024
Practice Address - Country:US
Practice Address - Phone:631-369-7777
Practice Address - Fax:631-369-7776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03913128Medicaid