Provider Demographics
NPI:1760697809
Name:COMFORT AMBULETTE SEVICE INC.
Entity Type:Organization
Organization Name:COMFORT AMBULETTE SEVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:MS
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:L
Authorized Official - Last Name:SAFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-619-8194
Mailing Address - Street 1:333 PEARL ST APT 6D
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10038-1649
Mailing Address - Country:US
Mailing Address - Phone:212-619-8194
Mailing Address - Fax:212-692-5974
Practice Address - Street 1:333 PEARL ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10038-1609
Practice Address - Country:US
Practice Address - Phone:212-619-8194
Practice Address - Fax:212-962-5974
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01021127Medicaid