Organization
AMERICAN BASE NO 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE ORTIZ (PRESIDENT)
(917) 863-2729
Entity
Organization
Contact information
Practice address
3077 3RD AVE, BRONX, NY 10451-4628
(718) 665-6663
Mailing address
3077 3RD AVE, BRONX, NY 10451-4628
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123456789
—
NY
Enumeration date
09/06/2019
Last updated
09/06/2019
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