Provider Demographics
NPI:1518212257
Name:GLENWOOD CAR SERVICE INC
Entity Type:Organization
Organization Name:GLENWOOD CAR SERVICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JEFF
Authorized Official - Middle Name:
Authorized Official - Last Name:GROBMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-253-1212
Mailing Address - Street 1:4214 GLENWOOD RD
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-2027
Mailing Address - Country:US
Mailing Address - Phone:718-253-1212
Mailing Address - Fax:718-703-1215
Practice Address - Street 1:4214 GLENWOOD RD
Practice Address - Street 2:1ST FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-2027
Practice Address - Country:US
Practice Address - Phone:718-253-1212
Practice Address - Fax:718-703-1215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-18
Last Update Date:2012-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB02537344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi