Provider Demographics
NPI:1982221206
Name:POLO LIMOUSINE CORP
Entity Type:Organization
Organization Name:POLO LIMOUSINE CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ELI
Authorized Official - Middle Name:HIRSCHENBOIM
Authorized Official - Last Name:HIRSCHENBOIM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-427-1000
Mailing Address - Street 1:325 E 88TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10128-4942
Mailing Address - Country:US
Mailing Address - Phone:212-427-1000
Mailing Address - Fax:718-534-4140
Practice Address - Street 1:325 E 88TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-4942
Practice Address - Country:US
Practice Address - Phone:212-427-1000
Practice Address - Fax:718-534-4140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-02
Last Update Date:2020-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)