Provider Demographics
NPI:1134222326
Name:AMBULETTE STAR TRANS, INC.
Entity type:Organization
Organization Name:AMBULETTE STAR TRANS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:IGOR
Authorized Official - Middle Name:
Authorized Official - Last Name:BARSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-332-0320
Mailing Address - Street 1:2500 E 21ST ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-2904
Mailing Address - Country:US
Mailing Address - Phone:718-332-0320
Mailing Address - Fax:718-646-6623
Practice Address - Street 1:2500 E 21ST ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11235-2904
Practice Address - Country:US
Practice Address - Phone:718-332-0320
Practice Address - Fax:718-646-6623
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31551343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)