Organization
LIFELINE AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE RAPISARDA (ADMINISTRATOR)
(718) 645-8500
Entity
Organization
Contact information
Practice address
2593 W 13TH ST, BROOKLYN, NY 11223-5812
(718) 645-8500
Mailing address
2593 W 13TH ST, BROOKLYN, NY 11223-5812
(718) 645-8500
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7292
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01508709
—
NY
Enumeration date
05/27/2005
Last updated
10/10/2012
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