Provider Demographics
NPI:1427403716
Name:WECAN ONE CORPORATION
Entity Type:Organization
Organization Name:WECAN ONE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GRANT
Authorized Official - Middle Name:ANOSIKE
Authorized Official - Last Name:AKIDI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:914-356-7004
Mailing Address - Street 1:3800 BRONXWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-1012
Mailing Address - Country:US
Mailing Address - Phone:347-843-6565
Mailing Address - Fax:347-843-6566
Practice Address - Street 1:3800 BRONXWOOD AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10469-1012
Practice Address - Country:US
Practice Address - Phone:347-843-6565
Practice Address - Fax:347-843-6566
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-25
Last Update Date:2016-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00081-12344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03540838Medicaid