Provider Demographics
NPI:1154755916
Name:HAWK CAR AND LIMO SERVICE
Entity type:Organization
Organization Name:HAWK CAR AND LIMO SERVICE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:GIRKHOVSKIY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-650-3535
Mailing Address - Street 1:591 MIDLAND AVE
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10306-5928
Mailing Address - Country:US
Mailing Address - Phone:718-650-3535
Mailing Address - Fax:718-907-7933
Practice Address - Street 1:591 MIDLAND AVE
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10306-5928
Practice Address - Country:US
Practice Address - Phone:718-650-3535
Practice Address - Fax:718-907-7933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-29
Last Update Date:2016-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03506383Medicaid
NYB02539OtherNYC TLC