Provider Demographics
NPI:1841736980
Name:AERO CAR & LIMO SERVICE INC
Entity Type:Organization
Organization Name:AERO CAR & LIMO SERVICE INC
Other - Org Name:AERO TRANSPORTATION
Other - Org Type:Other Name
Authorized Official - Title/Position:OPERATION MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ANAS
Authorized Official - Middle Name:
Authorized Official - Last Name:MANGLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-283-8294
Mailing Address - Street 1:1721 MILITARY RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-1733
Mailing Address - Country:US
Mailing Address - Phone:716-283-8294
Mailing Address - Fax:866-571-9478
Practice Address - Street 1:1721 MILITARY RD
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-1733
Practice Address - Country:US
Practice Address - Phone:716-283-8294
Practice Address - Fax:866-571-9478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-12
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03233910Medicaid