Provider Demographics
NPI:1972905727
Name:NICK CAR & LIMO DERUCE
Entity Type:Organization
Organization Name:NICK CAR & LIMO DERUCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:NISAR
Authorized Official - Middle Name:
Authorized Official - Last Name:YUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:917-349-7475
Mailing Address - Street 1:181-02 HILLSIDE AV
Mailing Address - Street 2:
Mailing Address - City:JAMACA
Mailing Address - State:NY
Mailing Address - Zip Code:11432
Mailing Address - Country:US
Mailing Address - Phone:718-658-7777
Mailing Address - Fax:718-658-7711
Practice Address - Street 1:181-02 HILLSIDE AV
Practice Address - Street 2:
Practice Address - City:JAMACA
Practice Address - State:NY
Practice Address - Zip Code:11432
Practice Address - Country:US
Practice Address - Phone:718-658-7777
Practice Address - Fax:718-658-7777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle