Provider Demographics
NPI:1902385545
Name:AZ AMBULETTE LLC
Entity Type:Organization
Organization Name:AZ AMBULETTE LLC
Other - Org Name:AMBULNZ
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LEE
Authorized Official - Middle Name:
Authorized Official - Last Name:BIENSTOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-273-9770
Mailing Address - Street 1:35 W 35TH ST FL 5
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-2205
Mailing Address - Country:US
Mailing Address - Phone:212-273-9770
Mailing Address - Fax:
Practice Address - Street 1:327 SOUNDVIEW AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10473-3019
Practice Address - Country:US
Practice Address - Phone:424-307-0744
Practice Address - Fax:303-733-5689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-13
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)