Provider Demographics
NPI:1477074185
Name:SAFE RIDE DISPATCH LLC
Entity Type:Organization
Organization Name:SAFE RIDE DISPATCH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUELAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-303-0455
Mailing Address - Street 1:1 NEW KING ST STE 102
Mailing Address - Street 2:
Mailing Address - City:WEST HARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10604-1203
Mailing Address - Country:US
Mailing Address - Phone:914-730-2333
Mailing Address - Fax:315-801-0710
Practice Address - Street 1:1 NEW KING ST SUITE 102
Practice Address - Street 2:
Practice Address - City:HARRISON
Practice Address - State:NY
Practice Address - Zip Code:10604
Practice Address - Country:US
Practice Address - Phone:914-730-2333
Practice Address - Fax:315-801-0710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-03
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
344600000X
NY0024216344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi