Provider Demographics
NPI:1790131209
Name:C-REL TRANSPORTATION ENTERPRIZES,INC.
Entity Type:Organization
Organization Name:C-REL TRANSPORTATION ENTERPRIZES,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:HENRY
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-299-4712
Mailing Address - Street 1:277 NORTH AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5103
Mailing Address - Country:US
Mailing Address - Phone:914-299-4712
Mailing Address - Fax:914-236-1014
Practice Address - Street 1:277 NORTH AVE
Practice Address - Street 2:
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5103
Practice Address - Country:US
Practice Address - Phone:914-299-4712
Practice Address - Fax:914-236-1014
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY00150-14344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03963068Medicaid