Organization
TWINS AMBULETTE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KHATSKELEVICH (PRESIDENT)
(718) 743-2000
Entity
Organization
Contact information
Practice address
2849 86TH STREET, BROOKLYN, NY 11223
(718) 743-2000
(718) 743-0800
Mailing address
2849 86TH ST, BROOKLYN, NY 11223-4634
(718) 743-2000
(718) 743-0800
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B90349
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01381915
—
NY
Enumeration date
05/24/2013
Last updated
05/24/2013
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