Organization
EMPIRE STATE MEDI-CAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT GONZALEZ (PRESIDENT)
(631) 777-7333
Entity
Organization
Contact information
Practice address
555 BROADHOLLOW ROAD, SUITE 272, MELVILLE, NY 11747-5001
(631) 777-7333
(631) 777-7335
Mailing address
555 BROADHOLLOW ROAD, SUITE 272, MELVILLE, NY 11747-5001
(631) 777-7333
(631) 777-7335
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02645687
—
NY
Enumeration date
08/13/2008
Last updated
08/13/2008
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