Organization
EXCLUSIVE AMBULETTE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A. EDELMAN (VICE PRESIDENT)
(718) 327-5500
Entity
Organization
Contact information
Practice address
440 BEACH 21ST ST, FAR ROCKAWAY, NY 11691-3612
(718) 327-5500
(718) 337-6544
Mailing address
49 LAWRENCE AVE, P.O. BOX 476, LAWRENCE, NY 11559-1446
(718) 327-5500
(718) 337-6544
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
01463827
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01463827
—
NY
01
—
AMB000300
VNS
NY
Enumeration date
09/07/2006
Last updated
08/22/2020
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