Organization
OCEAN AMBULETTE SERV INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS POLYAKOV (MANAGING DIRECTOR)
(718) 946-1000
Entity
Organization
Contact information
Practice address
3072 BRIGHTON 1ST STREET, BROOKLYN, NY 11235
(718) 946-1000
(718) 946-0865
Mailing address
3072 BRIGHTON 1ST STREET, BROOKLYN, NY 11235
(718) 946-1000
(718) 946-0865
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B90357
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01064942
—
NY
01
—
30788
DOT
NY
01
—
B90357
T & LC
NY
Enumeration date
05/01/2007
Last updated
08/22/2020
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