Provider Demographics
NPI:1952760076
Name:APOLLO RADIO DISPATCHER
Entity Type:Organization
Organization Name:APOLLO RADIO DISPATCHER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:I
Authorized Official - Last Name:CAPELLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-577-5771
Mailing Address - Street 1:801 FREEMAN STREET
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10459
Mailing Address - Country:US
Mailing Address - Phone:347-577-5771
Mailing Address - Fax:347-577-5775
Practice Address - Street 1:801 FREEMAN STREET
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10459
Practice Address - Country:US
Practice Address - Phone:347-577-5771
Practice Address - Fax:347-577-5775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB02107344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi