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NPI Code Detail

MEDICARE: ASCONA AMBULETTE SERVICE

MEDICARE: ASCONA AMBULETTE SERVICE
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
1343900000XNon-emergency Medical Transport (VAN)B90496NY

General Provider Information

NPI Number : 1952572075
Entity Type Code : Organization
Provider Name (Legal Business Name) : ASCONA AMBULETTE SERVICE
Provider Business Mailing Address
First Line : 1260 AVENUE Y # 1A
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-4206
Country : US
Telephone Number : 718-646-1611
Fax Number :
Provider Business Practice Location Address
First Line : 1260 AVENUE Y # 1A
Second Line :
City : BROOKLYN
State : NY
Zip : 11235-4206
Country : US
Telephone Number : 718-646-1611
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MARK KARNOVSKY
Credential :
Telephone Number : 718-646-1611
Provider Enumeration Date : 03/17/2008
Last Update Date : 03/17/2008

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Directions to “ASCONA AMBULETTE SERVICE ” Practice Location

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