Organization
AUGUST AMBULETTE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DARRYL STEPHENS (PRESIDENT)
(718) 451-0073
Entity
Organization
Contact information
Practice address
1379 UTICA AVE, BROOKLYN, NY 11203-6615
(718) 451-0001
(718) 451-1746
Mailing address
1379 UTICA AVE, BROOKLYN, NY 11203-6615
(718) 451-0001
(718) 451-1746
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B90284
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00948518
—
NY
Enumeration date
12/07/2006
Last updated
08/22/2020
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