Provider Demographics
NPI:1457601064
Name:SPRING AMBULETTE INC
Entity type:Organization
Organization Name:SPRING AMBULETTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHLYONSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-951-0095
Mailing Address - Street 1:1582 EAST 34 STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-3437
Mailing Address - Country:US
Mailing Address - Phone:718-951-0095
Mailing Address - Fax:718-338-0526
Practice Address - Street 1:1582 EAST 34 STREET
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-3437
Practice Address - Country:US
Practice Address - Phone:718-951-0095
Practice Address - Fax:718-338-0526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-12
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30390343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)