Provider Demographics
NPI:1093702631
Name:ROBINSONS AMBULANCE AND OXYGEN SERVICE ,INC
Entity Type:Organization
Organization Name:ROBINSONS AMBULANCE AND OXYGEN SERVICE ,INC
Other - Org Name:LIFESTAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JONNY
Authorized Official - Middle Name:
Authorized Official - Last Name:COLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-812-7271
Mailing Address - Street 1:664 BLUE POINT RD
Mailing Address - Street 2:
Mailing Address - City:HOLTSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11742-1814
Mailing Address - Country:US
Mailing Address - Phone:631-447-2800
Mailing Address - Fax:631-447-2808
Practice Address - Street 1:664 BLUE POINT RD
Practice Address - Street 2:
Practice Address - City:HOLTSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11742-1814
Practice Address - Country:US
Practice Address - Phone:631-447-2800
Practice Address - Fax:631-447-2808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-29
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY51483416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00889309Medicaid