Provider Demographics
NPI:1952641391
Name:Y.A.F.A. GROUP LLC
Entity Type:Organization
Organization Name:Y.A.F.A. GROUP LLC
Other - Org Name:SALAM MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FAWZI
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELGANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-609-9057
Mailing Address - Street 1:11 RICHMOND ST
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07011-2828
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11 RICHMOND ST
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011
Practice Address - Country:US
Practice Address - Phone:973-609-9057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-21
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ100568OtherNJLINCS