Provider Demographics
NPI:1073273223
Name:LAMBOY, BRANDON CESAR
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:CESAR
Last Name:LAMBOY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3454
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-0690
Mailing Address - Country:US
Mailing Address - Phone:347-451-2571
Mailing Address - Fax:
Practice Address - Street 1:32 ADAMS ST S
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-6802
Practice Address - Country:US
Practice Address - Phone:347-451-2571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-28
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)