Provider Demographics
NPI:1932292851
Name:COLING AMBULETTE SER INC
Entity Type:Organization
Organization Name:COLING AMBULETTE SER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:DESMIE
Authorized Official - Middle Name:MEVA
Authorized Official - Last Name:COLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-469-6200
Mailing Address - Street 1:1125 E 43RD ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-4408
Mailing Address - Country:US
Mailing Address - Phone:718-469-6200
Mailing Address - Fax:718-469-6159
Practice Address - Street 1:347 ROCKAWAY AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-5633
Practice Address - Country:US
Practice Address - Phone:718-469-6200
Practice Address - Fax:718-469-6159
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00729153Medicaid