Healthcare Provider Details

I. General information

NPI: 1124118401
Provider Name (Legal Business Name): AMBU-CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2006
Last Update Date: 07/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

615 81ST ST
BROOKLYN NY
11209-4015
US

IV. Provider business mailing address

615 81ST ST
BROOKLYN NY
11209-4015
US

V. Phone/Fax

Practice location:
  • Phone: 718-745-3411
  • Fax: 718-745-8723
Mailing address:
  • Phone: 718-745-3411
  • Fax: 718-745-8723

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number33644
License Number StateNY

VIII. Authorized Official

Name: MR. ROBERT MARCHAND
Title or Position: PRESIDENT
Credential:
Phone: 718-745-3411