MEDICARE: ALLMEDICAL 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)	DOT# 33680	NY

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	:	1730313669
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALLMEDICAL SERVICE, INC

Provider Business Mailing Address
First Line	:	2899 OCEAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3201
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2899 OCEAN AVE
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-3201
Country	:	US
Telephone Number	:	718-676-0126
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	OLEG GOROKHOVSKIY
Credential	:
Telephone Number	:	718-676-0126

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	05/06/2009

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Directions to “ALLMEDICAL SERVICE, INC ” Practice Location

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