Organization
MARINA AMBULETTE SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS LOUPOLOVER (ADMINISTRATOR)
(718) 934-8844
Entity
Organization
Contact information
Practice address
2589 CONEY ISLAND AVE FL 2, BROOKLYN, NY 11223-5536
(718) 934-8844
Mailing address
2589 CONEY ISLAND AVE FL 2, BROOKLYN, NY 11223-5536
(718) 934-8844
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B90604
NY
Other
Enumeration date
04/23/2007
Last updated
08/22/2020
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