Provider Demographics
NPI:1841644036
Name:GUGLIELMO LIMOUSINE SERVICE INC.
Entity type:Organization
Organization Name:GUGLIELMO LIMOUSINE SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:NICOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUGLIELMO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-646-5466
Mailing Address - Street 1:1 RADISSON PLZ
Mailing Address - Street 2:10TH FL
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-5766
Mailing Address - Country:US
Mailing Address - Phone:914-646-5466
Mailing Address - Fax:
Practice Address - Street 1:1 RADISSON PLZ
Practice Address - Street 2:10TH FL
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-5766
Practice Address - Country:US
Practice Address - Phone:914-646-5466
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-04-14
Last Update Date:2016-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY04317819344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04317819Medicaid