Organization
LEONS AMBULETTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANUTE CONROY SMITH (PRESIDENT)
(718) 291-0765
Entity
Organization
Contact information
Practice address
11422 170TH ST, JAMAICA, NY 11434-1317
(718) 291-0765
Mailing address
11422 170TH ST, JAMAICA, NY 11434-1317
(718) 291-0765
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
01534761
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01534761
—
NY
Enumeration date
03/03/2010
Last updated
03/03/2010
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