Provider Demographics
NPI:1760992606
Name:AMAZING CAR AND LIMO SERVICE INC.
Entity Type:Organization
Organization Name:AMAZING CAR AND LIMO SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:LEONARDO
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:CUETO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-942-5959
Mailing Address - Street 1:1659 BATH AVE FL GROUND
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11214-4509
Mailing Address - Country:US
Mailing Address - Phone:718-942-5959
Mailing Address - Fax:718-872-7707
Practice Address - Street 1:1659 BATH AVE FL GROUND
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11214-4509
Practice Address - Country:US
Practice Address - Phone:718-942-5959
Practice Address - Fax:718-872-7707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-05
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04691489Medicaid