Provider Demographics
NPI:1164622296
Name:R. V. AMBULETTE, INC.
Entity Type:Organization
Organization Name:R. V. AMBULETTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RAJU
Authorized Official - Middle Name:V
Authorized Official - Last Name:ZACHARIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-375-7100
Mailing Address - Street 1:45 LUDLOW ST
Mailing Address - Street 2:SUITE 416
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10705-1947
Mailing Address - Country:US
Mailing Address - Phone:914-375-7100
Mailing Address - Fax:914-375-2557
Practice Address - Street 1:45 LUDLOW ST
Practice Address - Street 2:SUITE 416
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10705-1947
Practice Address - Country:US
Practice Address - Phone:914-375-7100
Practice Address - Fax:914-375-2557
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-18
Last Update Date:2007-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01829423343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01829423Medicaid