Organization
GREAT AMBULETTE SVC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD ZHUBRAK (PRESIDENT)
(718) 449-2600
Entity
Organization
Contact information
Practice address
1614 NEPTUNE AVE FL 3, BROOKLYN, NY 11224-2718
(718) 449-2600
(718) 449-2646
Mailing address
1614 NEPTUNE AVE FL 3, BROOKLYN, NY 11224-2718
(718) 449-2600
(718) 449-2646
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
B90640
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02006839
—
NY
05
—
02871185
—
NY
Enumeration date
04/18/2007
Last updated
08/22/2020
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