Provider Demographics
NPI:1487723599
Name:AHAVA ACCESS INC
Entity type:Organization
Organization Name:AHAVA ACCESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GADAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-252-1111
Mailing Address - Street 1:6002 FOSTER AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3103
Mailing Address - Country:US
Mailing Address - Phone:718-252-1111
Mailing Address - Fax:718-758-1856
Practice Address - Street 1:6002 FOSTER AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3100
Practice Address - Country:US
Practice Address - Phone:718-252-1111
Practice Address - Fax:718-758-1856
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02592372Medicaid