Organization
ALL ISLAND AMBULETTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GENADIY ABDURAHMANOV (MANAGER)
(917) 903-2086
Entity
Organization
Contact information
Practice address
1250 ST. LOUIS AVENUE, BAY SHORE, NY 11706
(631) 666-7700
Mailing address
1250 ST. LOUIS AVENUE, BAY SHORE, NY 11706
(631) 666-7700
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
02663629
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01218280
—
NY
05
—
02663629
—
NY
Enumeration date
09/27/2006
Last updated
08/22/2020
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