Provider Demographics
NPI:1508889635
Name:ALLURE TRANSPORTATION INC
Entity Type:Organization
Organization Name:ALLURE TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JACOB
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-943-4040
Mailing Address - Street 1:310 NORTHERN BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-4806
Mailing Address - Country:US
Mailing Address - Phone:718-943-4040
Mailing Address - Fax:516-282-1011
Practice Address - Street 1:310 NORTHERN BLVD STE D
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-4806
Practice Address - Country:US
Practice Address - Phone:718-943-4040
Practice Address - Fax:516-282-1011
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALLURE TRANSPORTATION INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-07-26
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB90628343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB90628OtherTLC BASE LICENCE
NY31369OtherDOT