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General NPI Number Information
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NPI Number | 1295857092
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Entity Type | Organization
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Legal Business Name | NEW YORK HOSPITAL QUEENS AMBULANCE
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 05/11/2011
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Provider Practice Location Address
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Address Line | 5645 MAIN ST
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City | FLUSHING
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State | NY
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Zip | 11355-5045
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Country | US
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Telephone | 718-670-1231
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Fax | 718-661-7942
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Provider Business Mailing Address
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Address Line | PO BOX 535
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-0535
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Country | US
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Telephone | 800-927-5845
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Fax | 800-927-5845
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT-CFO
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Name | MR. KEVIN J. WARD
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Credential |
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Telephone | 718-670-1476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 7003010HPF11637
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License Number State | NY
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