Organization
ATLANTIC AMBULETTE SERVICE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THADDEUS ASHIMOLE (PRESIDENT)
(516) 467-6823
Entity
Organization
Contact information
Practice address
3017 GRAND BLVD, BALDWIN, NY 11510-4719
(516) 467-6823
Mailing address
3017 GRAND BLVD, BALDWIN, NY 11510-4719
(516) 467-6823
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
38271
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03466608
—
NY
Enumeration date
06/14/2016
Last updated
06/14/2016
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