Provider Demographics
NPI:1598060162
Name:GARAGE AMBULETTE SERVICE
Entity Type:Organization
Organization Name:GARAGE AMBULETTE SERVICE
Other - Org Name:NYC METRO CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MISELEVICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-434-5893
Mailing Address - Street 1:2626 E 14TH ST
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-3966
Mailing Address - Country:US
Mailing Address - Phone:212-203-1823
Mailing Address - Fax:
Practice Address - Street 1:2626 E 14TH ST
Practice Address - Street 2:SUITE 101B
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-3966
Practice Address - Country:US
Practice Address - Phone:212-203-1823
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)