Provider Demographics
NPI:1225580061
Name:ACES TAXI
Entity type:Organization
Organization Name:ACES TAXI
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-878-8812
Mailing Address - Street 1:1 EXCELSIOR AVENUE
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:NY
Mailing Address - Zip Code:12180
Mailing Address - Country:US
Mailing Address - Phone:518-878-8812
Mailing Address - Fax:518-244-3560
Practice Address - Street 1:1 EXCELSIOR AVE
Practice Address - Street 2:APT 5
Practice Address - City:TROY
Practice Address - State:NY
Practice Address - Zip Code:12180-5205
Practice Address - Country:US
Practice Address - Phone:518-878-8812
Practice Address - Fax:518-244-3560
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY428697813344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY04099538Medicaid