Provider Demographics
NPI:1649684689
Name:CLEAN AIR CAR SERVICE & PARKING CORPORATION
Entity type:Organization
Organization Name:CLEAN AIR CAR SERVICE & PARKING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KE EN
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-460-0888
Mailing Address - Street 1:13620 38TH AVE
Mailing Address - Street 2:SUITE 10J
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4277
Mailing Address - Country:US
Mailing Address - Phone:718-460-0888
Mailing Address - Fax:718-395-8289
Practice Address - Street 1:13620 38TH AVE
Practice Address - Street 2:SUITE 10J
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4277
Practice Address - Country:US
Practice Address - Phone:718-460-0888
Practice Address - Fax:718-395-8289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-18
Last Update Date:2014-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB02531343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03563146Medicaid