Provider Demographics
NPI:1073808374
Name:ACE MEDICAL TRANSPORT
Entity Type:Organization
Organization Name:ACE MEDICAL TRANSPORT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VITALIY
Authorized Official - Middle Name:
Authorized Official - Last Name:HRYTSYK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-650-8132
Mailing Address - Street 1:934 STUYVESANT AVE STE 18
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-6944
Mailing Address - Country:US
Mailing Address - Phone:888-992-2365
Mailing Address - Fax:973-647-9178
Practice Address - Street 1:934 STUYVESANT AVE STE 18
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-6944
Practice Address - Country:US
Practice Address - Phone:888-992-2365
Practice Address - Fax:973-647-9178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-14
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport