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Organization

MAYSHAMAR AMBULETTE SERVICES

Active
Parent organization
122345699
Other names
none
Organization subpart
Yes

Provider details

NPI number
Legal business name
122345699
Authorized official
MS. MAYLENE SYDNEE HAYNES OWNER/OPERATOR/PROVI (CEO)
(347) 733-9569
Entity
Organization

Contact information

Practice address
33 OLIVER PL, STATEN ISLAND, NY 10314-3221
(347) 733-9569
(347) 733-9569
Mailing address
33 OLIVER PLACE, STATEN ISLAND, NY 10314
(347) 733-9569
(347) 733-9569

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
01/14/2013
Last updated
01/14/2013
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