Provider Demographics
NPI:1184907594
Name:ABDALLAH, NYEL
Entity type:Individual
Prefix:
First Name:NYEL
Middle Name:
Last Name:ABDALLAH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:AMERI-CARE
Other - Middle Name:
Other - Last Name:TRANSIT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LLC
Mailing Address - Street 1:26250 INDUSTRIAL BLVD
Mailing Address - Street 2:SUITE 43
Mailing Address - City:HAYWARD
Mailing Address - State:CA
Mailing Address - Zip Code:94545-2922
Mailing Address - Country:US
Mailing Address - Phone:510-253-7013
Mailing Address - Fax:
Practice Address - Street 1:26250 INDUSTRIAL BLVD
Practice Address - Street 2:SUITE 43
Practice Address - City:HAYWARD
Practice Address - State:CA
Practice Address - Zip Code:94545-2922
Practice Address - Country:US
Practice Address - Phone:510-253-7013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-21
Last Update Date:2013-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA146471343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA300704279OtherEMPLOYER IDENTIFICATION NUMBER