Provider Demographics
NPI:1366769788
Name:MEDI CAR CORP.
Entity type:Organization
Organization Name:MEDI CAR CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SPITZER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-468-5464
Mailing Address - Street 1:26 ELM DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH FALLSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:12779-5506
Mailing Address - Country:US
Mailing Address - Phone:845-436-5747
Mailing Address - Fax:845-436-5749
Practice Address - Street 1:26 ELM DR
Practice Address - Street 2:
Practice Address - City:SOUTH FALLSBURG
Practice Address - State:NY
Practice Address - Zip Code:12779-5506
Practice Address - Country:US
Practice Address - Phone:845-436-5747
Practice Address - Fax:845-436-5749
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-25
Last Update Date:2010-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03191751Medicaid