Organization
GODFREY AMBULETTE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAFI GAVRIELOV (PRESIDENT)
(718) 651-0055
Entity
Organization
Contact information
Practice address
466 MORNINGSTAR RD, STATEN ISLAND, NY 10303-2837
(718) 651-0055
(718) 507-1617
Mailing address
466 MORNINGSTAR RD, STATEN ISLAND, NY 10303-2837
(718) 651-0055
(718) 507-1617
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
B90384
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01018331
—
NY
Enumeration date
10/17/2007
Last updated
10/17/2007
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