Organization
AAA AMBULETTE SERVICE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHAWN PATRICK NEVILLE (PRESIDENT)
15167531616
Entity
Organization
Contact information
Practice address
122 VERDI ST, FARMINGDALE, NY 11735-6323
(151) 675-3161
(151) 675-3030
Mailing address
122 VERDI ST, FARMINGDALE, NY 11735-6323
(151) 675-3161
(151) 675-3030
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
01636319
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01636319
—
NY
Enumeration date
10/26/2006
Last updated
08/22/2020
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