Provider Demographics
NPI:1376887455
Name:GREAT EXPRESS CAR&LIMOUSENE SERVICE INC
Entity Type:Organization
Organization Name:GREAT EXPRESS CAR&LIMOUSENE SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:POLYAKOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-572-3524
Mailing Address - Street 1:1612 NEPTUNE AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11224-2718
Mailing Address - Country:US
Mailing Address - Phone:718-449-3000
Mailing Address - Fax:718-449-3000
Practice Address - Street 1:1612 NEPTUNE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11224-2718
Practice Address - Country:US
Practice Address - Phone:718-449-3000
Practice Address - Fax:718-449-3000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi