Provider Demographics
NPI:1427501345
Name:A LIST LUXURY SVCS LLC
Entity type:Organization
Organization Name:A LIST LUXURY SVCS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-314-8794
Mailing Address - Street 1:70 E SUNRISE HWY
Mailing Address - Street 2:SUITE 500
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-1240
Mailing Address - Country:US
Mailing Address - Phone:516-340-1256
Mailing Address - Fax:
Practice Address - Street 1:70 E SUNRISE HWY
Practice Address - Street 2:SUITE 500
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-1240
Practice Address - Country:US
Practice Address - Phone:516-340-1256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-27
Last Update Date:2016-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB02919344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes344600000XTransportation ServicesTaxi