Organization
ENERGY AMBULETTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARTORANO (BILLING SUPERVISOR)
(800) 632-2113
Entity
Organization
Contact information
Practice address
90 13TH AVE, UNIT 4, RONKONKOMA, NY 11779-6818
(800) 632-2113
(845) 897-1090
Mailing address
350 MOTOR PKWY, SUITE 404, HAUPPAUGE, NY 11788-5101
(800) 632-2113
(845) 897-1090
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
DOT 36043
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02574867
—
NY
Enumeration date
10/04/2006
Last updated
08/22/2020
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