Organization
ASC TRANSPORTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER YAKUBOV (PRESIDENT)
(718) 261-7399
Entity
Organization
Contact information
Practice address
10839 67TH DR, FOREST HILLS, NY 11375-2945
(718) 261-7399
(718) 261-4662
Mailing address
10839 67TH DR, FOREST HILLS, NY 11375-2945
(718) 261-7399
(718) 261-4662
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01824024
—
NY
Enumeration date
12/31/2007
Last updated
12/31/2007
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