Organization
ALL ISLAND AMBULETTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GENNADIY ABDURAKHMANOV (PRESIDENT)
(917) 903-2086
Entity
Organization
Contact information
Practice address
1224 BRUNSWICK AVE, FAR ROCKAWAY, NY 11691-3920
(631) 666-7700
(631) 666-7762
Mailing address
1250 ST. LOUIS AVE, BAYSHORE, NY 11706
(631) 666-7700
(631) 666-7762
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
02663629
NY
Other
Enumeration date
03/02/2007
Last updated
08/22/2020
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