Organization
LONG ISLAND AMBULETTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GARDELL (PRESIDENT)
(631) 218-9764
Entity
Organization
Contact information
Practice address
415 CENTRAL AVE STE F, BOHEMIA, NY 11716-3118
(631) 218-9764
(631) 218-4457
Mailing address
415 CENTRAL AVE STE F, BOHEMIA, NY 11716-3118
(631) 218-9764
(631) 218-4457
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02178861
—
NY
Enumeration date
08/31/2006
Last updated
07/21/2022
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