Organization
FRANCIS AGBO D/B/A AMPA COACH AMBUETTE
Active
Other names
AMPA COACH AMBUETTE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS AGBO (OWNER)
(800) 790-3660
Entity
Organization
Contact information
Practice address
65 MAIN ST, SUITE 203, WARWICK, NY 10990-1346
(800) 790-3660
Mailing address
PO BOX 908, WARWICK, NY 10990-0908
(800) 790-3660
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
36463
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02679927
—
NY
Enumeration date
07/19/2013
Last updated
07/19/2013
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