Organization
SHIVA AMBULETTE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUNITA MEHTA (PRESIDENT)
(718) 549-0391
Entity
Organization
Contact information
Practice address
5582 BROADWAY, BRONX, NY 10463-5519
(718) 549-0391
(718) 549-5951
Mailing address
5582 BROADWAY, BRONX, NY 10463-5519
(718) 549-0391
(718) 549-5951
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
01460388
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01460388
—
NY
Enumeration date
09/25/2008
Last updated
09/25/2008
Update your record
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