Organization
HAITI AIR AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KELLY EDWARDS FNP-C (CLINICAL OPERATIONS MANAGER)
(706) 840-4671
Entity
Organization
Contact information
Practice address
6 CORPORATE CENTER DR, MELVILLE, NY 11747-3845
(631) 594-8471
Mailing address
6 CORPORATE CENTER DR, MELVILLE, NY 11747-3845
(631) 594-8471
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
—
—
261QE0002X
Emergency Care Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
3416A0800X
Air Ambulance
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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