GODFREY AMBULETTE SERVICE, INC.; NPI #1326237207

Contact Information

GODFREY AMBULETTE SERVICE, INC.

466 MORNINGSTAR RD
STATEN ISLAND, NY 10303-2837

Phone: 718-651-0055
Fax: 718-507-1617
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Ambulance	341600000X	59	Ambulance Service Provider

Indicates primary specialty

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NPI Profile & details for GODFREY AMBULETTE SERVICE, INC.

NPI Number 1326237207

LBN Legal business name GODFREY AMBULETTE SERVICE, INC.

Authorized official RAFI GAVRIELOV - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/17/2007

Last updated 10/17/2007 - About 19 years ago

Identifiers

NY	License #	B90384
NY	Medicaid	01018331

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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GODFREY AMBULETTE SERVICE, INC.

Contact Information

Specialty

Ambulance

NPI Profile & details for GODFREY AMBULETTE SERVICE, INC.

Reviews for GODFREY AMBULETTE SERVICE, INC.