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Organization

LIFECARE AMBULETTE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MORDY LAHASKY (MANAGER)
(646) 772-3668
Entity
Organization

Contact information

Practice address
1224 BRUNSWICK AVE, FAR ROCKAWAY, NY 11691-3920
(646) 772-3668
(718) 327-3010
Mailing address
1224 BRUNSWICK AVE, FAR ROCKAWAY, NY 11691-3920
(646) 772-3668
(718) 327-3010

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
30354
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
30534
NYS DOT
NY
Enumeration date
12/06/2010
Last updated
12/06/2010
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