Healthcare Provider Details

I. General information

NPI: 1982148003
Provider Name (Legal Business Name): AMBULNZ NY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2016
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1670 WEIRFIELD ST
RIDGEWOOD NY
11385-5350
US

IV. Provider business mailing address

685 3RD AVE FL 9
NEW YORK NY
10017-4151
US

V. Phone/Fax

Practice location:
  • Phone: 212-433-2592
  • Fax: 718-239-4900
Mailing address:
  • Phone: 844-443-6246
  • Fax: 833-907-2235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: ROBERT MBONYE
Title or Position: DIRECTOR OF FINANCE
Credential:
Phone: 585-278-0502