Organization
SHALOM AMBULETTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE EAPEN (PRESIDENT)
(914) 285-3397
Entity
Organization
Contact information
Practice address
600 N BROADWAY, SUITE #218, WHITE PLAINS, NY 10603-2466
(914) 285-3397
Mailing address
600 N BROADWAY, SUITE #218, WHITE PLAINS, NY 10603-2466
(914) 285-3397
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
36042
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02518936
—
NY
Enumeration date
07/13/2007
Last updated
07/13/2007
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