Provider Demographics
NPI:1407300577
Name:RAELEEN CAR CORP
Entity Type:Organization
Organization Name:RAELEEN CAR CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:VLAUN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-603-1815
Mailing Address - Street 1:2725 GIFFORD AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10465-1814
Mailing Address - Country:US
Mailing Address - Phone:917-603-1815
Mailing Address - Fax:
Practice Address - Street 1:2725 GIFFORD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10465-1814
Practice Address - Country:US
Practice Address - Phone:917-603-1815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-06
Last Update Date:2016-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)