Provider Demographics
NPI:1437208162
Name:FAST HELP AMBULETTE
Entity Type:Organization
Organization Name:FAST HELP AMBULETTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDUARD
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAYDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-692-0700
Mailing Address - Street 1:1474 E 31ST ST
Mailing Address - Street 2:SUITE#5
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3458
Mailing Address - Country:US
Mailing Address - Phone:718-692-0700
Mailing Address - Fax:718-692-0723
Practice Address - Street 1:1474 E 31ST ST
Practice Address - Street 2:SUITE#5
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3458
Practice Address - Country:US
Practice Address - Phone:718-692-0700
Practice Address - Fax:718-692-0723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB90301343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01299967Medicaid