Healthcare Provider Details

I. General information

NPI: 1265366223
Provider Name (Legal Business Name): 365 AMBULETTE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5869 59TH ST
MASPETH NY
11378-3245
US

IV. Provider business mailing address

5869 59TH ST
MASPETH NY
11378-3245
US

V. Phone/Fax

Practice location:
  • Phone: 718-463-4444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State

VIII. Authorized Official

Name: JAIME DIAZ
Title or Position: COO
Credential:
Phone: 718-463-4444