Provider Demographics
NPI:1871225342
Name:ENHANCE TR INC
Entity Type:Organization
Organization Name:ENHANCE TR INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MOLINA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-965-1616
Mailing Address - Street 1:6202 NEW UTRECHT AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5422
Mailing Address - Country:US
Mailing Address - Phone:718-965-1616
Mailing Address - Fax:
Practice Address - Street 1:6202 NEW UTRECHT AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-5422
Practice Address - Country:US
Practice Address - Phone:718-965-1616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-24
Last Update Date:2022-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization