MEDICARE: FLUSHING MEDICAL AMBULETTE 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	:	1730275959
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLUSHING MEDICAL AMBULETTE INC

Provider Business Mailing Address
First Line	:	97-20 57TH AVE
Second Line	:	11A
City	:	CORONA
State	:	NY
Zip	:	11368-3535
Country	:	US
Telephone Number	:	718-896-5511
Fax Number	:	718-699-4617

Provider Business Practice Location Address
First Line	:	23-57 83RD STREET
Second Line	:
City	:	EAST ELMHURST
State	:	NY
Zip	:	11370-1630
Country	:	US
Telephone Number	:	718-896-5511
Fax Number	:	718-699-4617

Authorized Official
Title or Position	:	PRESIDENT
Name	:	YOUSIF B ABDELMAGID
Credential	:
Telephone Number	:	718-809-4286

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	08/22/2020

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