Provider Demographics
NPI:1316071996
Name:TEMANA ASSOCIATES INC.
Entity type:Organization
Organization Name:TEMANA ASSOCIATES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MAYVALDOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-201-3664
Mailing Address - Street 1:117 S 4TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-4840
Mailing Address - Country:US
Mailing Address - Phone:718-701-2409
Mailing Address - Fax:718-441-5350
Practice Address - Street 1:117 S 4TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-4840
Practice Address - Country:US
Practice Address - Phone:718-701-2409
Practice Address - Fax:718-441-5350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02779844343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02779844Medicaid