Organization
CITYWIDE MOBILE RESPONSE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNA ORTIZ (MANAGING DIRECTOR)
(718) 829-1661
Entity
Organization
Contact information
Practice address
1624 STILLWELL AVE, BRONX, NY 10461-2214
(718) 829-1661
(718) 828-4850
Mailing address
1624 STILLWELL AVE, BRONX, NY 10461-2214
(718) 829-1661
(718) 828-4850
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
07046
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01866908
—
NY
01
—
997802
AETNA
NY
01
—
A907252
OXFORD
—
Enumeration date
06/08/2005
Last updated
04/23/2018
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