Provider Demographics
NPI:1700527090
Name:DAKS STAR TRANSPORTATION INC
Entity Type:Organization
Organization Name:DAKS STAR TRANSPORTATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ILDAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ISKANDAROV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-790-3867
Mailing Address - Street 1:2001 E 9TH ST APT 5F
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-4110
Mailing Address - Country:US
Mailing Address - Phone:718-790-3867
Mailing Address - Fax:
Practice Address - Street 1:2001 E 9TH ST APT 5F
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-4110
Practice Address - Country:US
Practice Address - Phone:718-790-3867
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-02
Last Update Date:2022-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)