Provider Demographics
NPI:1053680751
Name:DOUBLE Y AMBULETTE CORP.
Entity Type:Organization
Organization Name:DOUBLE Y AMBULETTE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YAHINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-281-9200
Mailing Address - Street 1:750 E 166TH ST APT 8D
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10456-5638
Mailing Address - Country:US
Mailing Address - Phone:646-281-9200
Mailing Address - Fax:
Practice Address - Street 1:750 E 166TH ST APT 8D
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10456-5638
Practice Address - Country:US
Practice Address - Phone:646-281-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-26
Last Update Date:2011-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY437164336343900000X
NY872369192343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)