Provider Demographics
NPI:1477955169
Name:DIANE CAR SERVICE, INC
Entity Type:Organization
Organization Name:DIANE CAR SERVICE, INC
Other - Org Name:DIANE TRANSPORTATION, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARKADY
Authorized Official - Middle Name:
Authorized Official - Last Name:ABAYEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-544-4444
Mailing Address - Street 1:7318 YELLOWSTONE BLVD
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-4198
Mailing Address - Country:US
Mailing Address - Phone:718-544-4444
Mailing Address - Fax:718-544-4424
Practice Address - Street 1:7318 YELLOWSTONE BLVD
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-4198
Practice Address - Country:US
Practice Address - Phone:718-544-4444
Practice Address - Fax:718-544-4424
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB02707343900000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03883314Medicaid
NYB02707OtherNYC TLC BASE #