Organization
MERCEDES AMBULETTE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIO AQUINO (MANAGING MEMBER)
(917) 517-5298
Entity
Organization
Contact information
Practice address
1053 SUMMIT AVE APT 2, BRONX, NY 10452-5003
(917) 517-5298
Mailing address
1053 SUMMIT AVE APT 2, BRONX, NY 10452-5003
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
00923840
NY
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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