Organization
BARDONIA AMBULETTE & INVALID COACH SERVICE,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIVINA A. DE LEON (OWNER)
(845) 623-6289
Entity
Organization
Contact information
Practice address
1 FURPHY LN, BARDONIA, NY 10954-1630
(845) 623-6289
(845) 215-5478
Mailing address
1 FURPHY LN, BARDONIA, NY 10954-1630
(845) 623-6289
(845) 215-5478
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01016393
—
NY
Enumeration date
06/12/2007
Last updated
07/11/2007
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