Organization
EMPRESS AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MINERVA (SENIOR VICE PRESIDENT)
(914) 965-5040
Entity
Organization
Contact information
Practice address
722 NEPPERHAN AVE, YONKERS, NY 10703-2312
(914) 965-5040
(914) 965-9776
Mailing address
722 NEPPERHAN AVENUE, YONKERS, NY 10703
(914) 965-5040
(914) 965-9776
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002068
COMMUNITY CHOICE
—
05
—
00321095
—
NY
01
—
1000001056
AFFINITY HEALTH PLAN
—
01
—
105425
WELLCARE
—
01
—
590111591
RAILROAD
—
01
—
ANC787
OXFORD HEALTH PLAN
—
01
—
NY0057
ACS HEALTHNET
—
Enumeration date
04/03/2006
Last updated
04/06/2020
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