Provider Demographics
NPI:1932237880
Name:SINAI VAN SERVICE
Entity Type:Organization
Organization Name:SINAI VAN SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:YEFIM
Authorized Official - Middle Name:
Authorized Official - Last Name:PORTNOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-210-4014
Mailing Address - Street 1:1224 BRUNSWICK AVE
Mailing Address - Street 2:
Mailing Address - City:FAR ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11691-3920
Mailing Address - Country:US
Mailing Address - Phone:718-868-0099
Mailing Address - Fax:718-327-3010
Practice Address - Street 1:1224 BRUNSWICK AVE
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-3920
Practice Address - Country:US
Practice Address - Phone:718-868-0099
Practice Address - Fax:718-327-3010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31159343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)