Provider Demographics
NPI:1255753117
Name:ALLCARE AMBULETTE INC
Entity type:Organization
Organization Name:ALLCARE AMBULETTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANICHAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-694-8555
Mailing Address - Street 1:44 S MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-5512
Mailing Address - Country:US
Mailing Address - Phone:845-694-8555
Mailing Address - Fax:845-694-8554
Practice Address - Street 1:44 S MADISON AVE
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-5512
Practice Address - Country:US
Practice Address - Phone:845-694-8555
Practice Address - Fax:845-694-8554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03259161Medicaid