Provider Demographics
NPI:1629326616
Name:AGAPE LUXURY CORP.
Entity Type:Organization
Organization Name:AGAPE LUXURY CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:N
Authorized Official - Last Name:SENA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-309-0202
Mailing Address - Street 1:556 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10455-3715
Mailing Address - Country:US
Mailing Address - Phone:718-858-2222
Mailing Address - Fax:646-395-1588
Practice Address - Street 1:556 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10455-3715
Practice Address - Country:US
Practice Address - Phone:718-858-2222
Practice Address - Fax:646-395-1588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-22
Last Update Date:2012-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB02550344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB02550OtherTLC LICENSE #