Provider Demographics
NPI:1689743510
Name:KIWITZ CAR SERVICE INC.
Entity Type:Organization
Organization Name:KIWITZ CAR SERVICE INC.
Other - Org Name:KIWITZ AMBULETTE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIKTORYA
Authorized Official - Middle Name:
Authorized Official - Last Name:UROVISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-787-0410
Mailing Address - Street 1:1672 86TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-2832
Mailing Address - Country:US
Mailing Address - Phone:718-787-0410
Mailing Address - Fax:718-787-0415
Practice Address - Street 1:1672 86TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-2832
Practice Address - Country:US
Practice Address - Phone:718-787-0410
Practice Address - Fax:718-787-0415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00B90575343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02497730Medicaid