Provider Demographics
NPI:1770140972
Name:HEALTH BLACK CAR SERVICES,CORP
Entity type:Organization
Organization Name:HEALTH BLACK CAR SERVICES,CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:NORMANDO
Authorized Official - Middle Name:
Authorized Official - Last Name:CARCANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-676-1132
Mailing Address - Street 1:454 RIVERDALE AVE APT B
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2963
Mailing Address - Country:US
Mailing Address - Phone:718-676-1132
Mailing Address - Fax:
Practice Address - Street 1:454 RIVERDALE AVE APT B
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2963
Practice Address - Country:US
Practice Address - Phone:718-676-1132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2019-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi