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General NPI Number Information
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NPI Number | 1821206772
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Entity Type | Organization
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Legal Business Name | HUNTER AMBULETTE-AMBULANCE, INC.
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 28 SHERIDAN BLVD
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City | INWOOD
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State | NY
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Zip | 11096-1817
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Country | US
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Telephone | 516-371-0870
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Fax | 516-371-3476
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Provider Business Mailing Address
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Address Line | 28 SHERIDAN BLVD P.O. BOX 960153
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City | INWOOD
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State | NY
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Zip | 11096-1817
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Country | US
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Telephone | 516-371-0870
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Fax | 516-371-3476
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DANIEL LEIBOWITZ
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Credential |
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Telephone | 516-371-0870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | C 29538
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License Number State | NY
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