Provider Demographics
NPI:1033264106
Name:NEW YORK CITY AMBULETTE
Entity Type:Organization
Organization Name:NEW YORK CITY AMBULETTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DOBRUSHIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-805-2500
Mailing Address - Street 1:601 BRIGHTON AVENUE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235
Mailing Address - Country:US
Mailing Address - Phone:718-805-2500
Mailing Address - Fax:718-441-8601
Practice Address - Street 1:601 BRIGHTON BEACH AVENUE
Practice Address - Street 2:SUITE 201
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235
Practice Address - Country:US
Practice Address - Phone:718-805-2500
Practice Address - Fax:718-441-8601
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01123344343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)