Provider Demographics
NPI:1558710400
Name:PICTURE PROPERTIES INC,
Entity Type:Organization
Organization Name:PICTURE PROPERTIES INC,
Other - Org Name:DEUCES TRANSPORT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:SALVATORE
Authorized Official - Last Name:CASTELLANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-734-8194
Mailing Address - Street 1:PO BOX 930045
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11693-0045
Mailing Address - Country:US
Mailing Address - Phone:917-375-0298
Mailing Address - Fax:718-318-2175
Practice Address - Street 1:9115 ROCKAWAY BEACH BLVD
Practice Address - Street 2:
Practice Address - City:ROCKAWAY BEACH
Practice Address - State:NY
Practice Address - Zip Code:11693-1528
Practice Address - Country:US
Practice Address - Phone:718-634-2222
Practice Address - Fax:718-318-2175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-10
Last Update Date:2016-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB02521343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04304867Medicaid