Organization
MAUDE AMBULANCE CO LLC
Active
Other names
Maude Ambulance Co LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SEMONE MELLESSA LEWIS-GRAY (OWNER)
(917) 257-3600
Entity
Organization
Contact information
Practice address
20407 119TH AVE, SAINT ALBANS, NY 11412-3558
(191) 725-7360
Mailing address
20407 119TH AVE, SAINT ALBANS, NY 11412-3558
(191) 725-7360
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
07/12/2023
Last updated
07/12/2023
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