Provider Demographics
NPI:1962110684
Name:DYNEX GLOBAL LLC
Entity type:Organization
Organization Name:DYNEX GLOBAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:G
Authorized Official - Last Name:RFOBERTS
Authorized Official - Suffix:
Authorized Official - Credentials:NEMT
Authorized Official - Phone:917-406-4224
Mailing Address - Street 1:400 CHAMBERS ST
Mailing Address - Street 2:STE 10Y
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10282-1009
Mailing Address - Country:US
Mailing Address - Phone:917-406-4226
Mailing Address - Fax:
Practice Address - Street 1:400 CHAMBERS ST
Practice Address - Street 2:STE 10Y
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10282-1009
Practice Address - Country:US
Practice Address - Phone:917-406-4226
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-10
Last Update Date:2022-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)