Organization
VIRGO AMBULETTE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ALIX PORTES (PRESIDENT)
(718) 677-0317
Entity
Organization
Contact information
Practice address
13 KALMIA LN VALLEY SREAM NY 11581, 4222 AVE I, BROOKLYN, NY 11581
(718) 677-0317
Mailing address
13 KALMIA LN, VALLEY STREAM, NY 11581-2325
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
30801
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01089385
—
NY
Enumeration date
10/22/2008
Last updated
10/22/2008
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