Organization
SUNLIGHT AMBULETTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KURIAKOSE PANNIKODU (PRESIDENT)
(914) 840-2537
Entity
Organization
Contact information
Practice address
253 WILLIAM STREET, PORT CHESTER, NY 10573
(914) 840-2537
Mailing address
253 WILLIAM STREET, PORT CHESTER, NY 10573
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
35726
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02382516
—
NY
Enumeration date
09/01/2010
Last updated
09/01/2010
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