MEDICARE: AMERICAN BIOMED AMBULETTE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)	B90028	NY

General Provider Information

NPI Number	:	1023208725
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN BIOMED AMBULETTE INC

Provider Business Mailing Address
First Line	:	11 WYONA ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-2515
Country	:	US
Telephone Number	:	718-235-8905
Fax Number	:	718-277-4300

Provider Business Practice Location Address
First Line	:	11 WYONA ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11207-2515
Country	:	US
Telephone Number	:	718-235-8905
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JULIET REID
Credential	:
Telephone Number	:	718-235-8905

Provider Enumeration Date	:	07/28/2007
Last Update Date	:	07/28/2007

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