Provider Demographics
NPI:1033279013
Name:D & L AMBULETTE, INC.
Entity Type:Organization
Organization Name:D & L AMBULETTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PREIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:LEOPOLDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-423-5010
Mailing Address - Street 1:454 RIVERDALE AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-2971
Mailing Address - Country:US
Mailing Address - Phone:914-423-5010
Mailing Address - Fax:914-376-6744
Practice Address - Street 1:454 RIVERDALE AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-2971
Practice Address - Country:US
Practice Address - Phone:914-423-5010
Practice Address - Fax:914-376-6744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB90166343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01037163Medicaid