Provider Demographics
NPI:1205035797
Name:R & M AMBULETTE EXPRESS INC.
Entity Type:Organization
Organization Name:R & M AMBULETTE EXPRESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RHEUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:MANGROO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-668-3500
Mailing Address - Street 1:3 N WEST ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:NY
Mailing Address - Zip Code:10550-1710
Mailing Address - Country:US
Mailing Address - Phone:914-668-3500
Mailing Address - Fax:
Practice Address - Street 1:3 N WEST ST
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:NY
Practice Address - Zip Code:10550-1710
Practice Address - Country:US
Practice Address - Phone:914-668-3500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02655425343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02655425Medicaid