=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063127603
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AF DE LNZ, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/18/2023
-----------------------------------------------------
Last Update Date | 10/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15 MAGGIES WAY STE 5-6
-----------------------------------------------------
City | DOVER
-----------------------------------------------------
State | DE
-----------------------------------------------------
Zip | 19901-4892
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 866-261-4261
-----------------------------------------------------
Fax | 833-358-7252
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 685 3RD AVE FL 9
-----------------------------------------------------
City | NEW YORK
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 10017-4151
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-685-3355
-----------------------------------------------------
Fax | 310-674-1642
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR OF FINANCE
-----------------------------------------------------
Name | ROBERT MBONYE
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 585-278-0502
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------