Provider Demographics
NPI:1013092402
Name:HUNTER AMBULANCE, INC.
Entity Type:Organization
Organization Name:HUNTER AMBULANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:LEIBOWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-371-0870
Mailing Address - Street 1:28 SHERIDAN BLVD
Mailing Address - Street 2:
Mailing Address - City:INWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11096-1817
Mailing Address - Country:US
Mailing Address - Phone:516-371-0870
Mailing Address - Fax:516-371-0871
Practice Address - Street 1:28 SHERIDAN BLVD
Practice Address - Street 2:
Practice Address - City:INWOOD
Practice Address - State:NY
Practice Address - Zip Code:11096-1817
Practice Address - Country:US
Practice Address - Phone:516-371-0870
Practice Address - Fax:516-371-0871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10262341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00321128Medicaid
NYA01871Medicare ID - Type UnspecifiedPROVIDER ID