Organization
PHOENIX TRANSPORT CORPORATION DBA
Active
Other names
EMERGENCY AMBULANCE SERVICE
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARTORANO (BILLING SUPERVISOR)
(866) 972-9224
Entity
Organization
Contact information
Practice address
1580 OCEAN AVE, BOHEMIA, NY 11716-1916
(631) 244-0280
(631) 244-0286
Mailing address
350 MOTOR PKWY, SUITE 300, HAUPPAUGE, NY 11788-5101
(866) 972-9224
(845) 897-1090
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10122
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02099470
—
NY
Enumeration date
07/09/2006
Last updated
12/18/2007
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