Provider Demographics
NPI:1457349821
Name:BELLMORE-MERRICK EMS INC
Entity Type:Organization
Organization Name:BELLMORE-MERRICK EMS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:
Authorized Official - Last Name:LUBLINER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-785-7700
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:BELLMORE
Mailing Address - State:NY
Mailing Address - Zip Code:11710-0008
Mailing Address - Country:US
Mailing Address - Phone:516-785-7700
Mailing Address - Fax:516-785-7482
Practice Address - Street 1:2434 GRAND AVE
Practice Address - Street 2:
Practice Address - City:BELLMORE
Practice Address - State:NY
Practice Address - Zip Code:11710-3548
Practice Address - Country:US
Practice Address - Phone:516-785-7700
Practice Address - Fax:516-679-6259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2961341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590008155OtherRAILROAD MEDICARE
NY01442864Medicaid
NYA08121Medicare PIN