Provider Demographics
NPI:1962242511
Name:TAKER INC
Entity type:Organization
Organization Name:TAKER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V. PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MAHAMODOL
Authorized Official - Middle Name:
Authorized Official - Last Name:HOQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-532-6641
Mailing Address - Street 1:2073 SHORE BLVD APT 1B
Mailing Address - Street 2:
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-4237
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2902 36TH AVE
Practice Address - Street 2:
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106-3108
Practice Address - Country:US
Practice Address - Phone:718-532-6641
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-30
Last Update Date:2024-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No332S00000XSuppliersHearing Aid Equipment