Provider Demographics
NPI:1790034411
Name:SAFE AND RELIABLE AMBULETTE, LLC
Entity Type:Organization
Organization Name:SAFE AND RELIABLE AMBULETTE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAZARENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MISIR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-732-5938
Mailing Address - Street 1:21 EVERDELL RD
Mailing Address - Street 2:
Mailing Address - City:EAST ROCKAWAY
Mailing Address - State:NY
Mailing Address - Zip Code:11518-2406
Mailing Address - Country:US
Mailing Address - Phone:516-887-9791
Mailing Address - Fax:
Practice Address - Street 1:21 EVERDELL RD
Practice Address - Street 2:
Practice Address - City:EAST ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11518-2406
Practice Address - Country:US
Practice Address - Phone:516-887-9791
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)