Organization
AVA AMBULETTE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMIRAN ARSENYAN (VISE PRESIDENT)
(718) 975-2000
Entity
Organization
Contact information
Practice address
1811 STILLWELL AVE, BROOKLYN, NY 11223-2419
(718) 975-2000
(718) 975-1999
Mailing address
1811 STILLWELL AVE, BROOKLYN, NY 11223-2419
(718) 975-2000
(718) 975-1999
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B90685
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03218251
—
NY
Enumeration date
08/12/2010
Last updated
08/12/2010
Update your record
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