Provider Demographics
NPI:1477738805
Name:GREY EAGLE INC.
Entity Type:Organization
Organization Name:GREY EAGLE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BORIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ROSTOVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-517-4008
Mailing Address - Street 1:550 STATE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:BENSALEM
Mailing Address - State:PA
Mailing Address - Zip Code:19020-8700
Mailing Address - Country:US
Mailing Address - Phone:215-244-4500
Mailing Address - Fax:215-244-4577
Practice Address - Street 1:550 STATE RD
Practice Address - Street 2:SUITE 102
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-8700
Practice Address - Country:US
Practice Address - Phone:215-244-4500
Practice Address - Fax:215-244-4577
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA070233416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport