MEDICARE: GIRLIES AMBULETTE SERVICE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1245441013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GIRLIES AMBULETTE SERVICE INC

Provider Business Mailing Address
First Line	:	596 MIDWOOD ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11203-1137
Country	:	US
Telephone Number	:	718-495-9288
Fax Number	:	718-495-9786

Provider Business Practice Location Address
First Line	:	1872 STERLING PL
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11233-4710
Country	:	US
Telephone Number	:	718-495-9288
Fax Number	:	718-495-9786

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. AUBREY WILLIAMS
Credential	:
Telephone Number	:	718-495-9288

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	08/22/2020

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