Provider Demographics
NPI:1659003275
Name:CITYWIDE AUTO INC
Entity Type:Organization
Organization Name:CITYWIDE AUTO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RAKIBUL
Authorized Official - Middle Name:
Authorized Official - Last Name:ISLAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-569-7484
Mailing Address - Street 1:6311 QUEENS BLVD APT F9
Mailing Address - Street 2:
Mailing Address - City:WOODSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11377-5703
Mailing Address - Country:US
Mailing Address - Phone:718-569-7484
Mailing Address - Fax:
Practice Address - Street 1:6311 QUEENS BLVD APT F9
Practice Address - Street 2:
Practice Address - City:WOODSIDE
Practice Address - State:NY
Practice Address - Zip Code:11377-5703
Practice Address - Country:US
Practice Address - Phone:718-569-7484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-30
Last Update Date:2022-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)