Organization
LUCKY AMBULETTE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUCKO JEAN (PRESIDENT)
(631) 741-1895
Entity
Organization
Contact information
Practice address
205 GIBBS POND RD, NESCONSET, NY 11767-2265
(631) 432-9691
(631) 257-5866
Mailing address
205 GIBBS POND RD, NESCONSET, NY 11767-2265
(631) 432-9691
(631) 257-5866
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
39758
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04582707
—
NY
Enumeration date
01/16/2017
Last updated
01/16/2017
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