Provider Demographics
NPI:1932598620
Name:LIMO SEVEN TRANSPORTATION
Entity Type:Organization
Organization Name:LIMO SEVEN TRANSPORTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FURKAT
Authorized Official - Middle Name:
Authorized Official - Last Name:BOLTAEV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-462-5191
Mailing Address - Street 1:1571 63RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219-5419
Mailing Address - Country:US
Mailing Address - Phone:646-462-5191
Mailing Address - Fax:718-259-5466
Practice Address - Street 1:3514 14TH AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11218-3704
Practice Address - Country:US
Practice Address - Phone:646-462-5191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-18
Last Update Date:2015-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB02795343900000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi