Provider Demographics
NPI:1669762175
Name:UNIVERSAL AMBULETTE SERVICE, INC
Entity type:Organization
Organization Name:UNIVERSAL AMBULETTE SERVICE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BALWINDER
Authorized Official - Middle Name:
Authorized Official - Last Name:KAUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-850-4989
Mailing Address - Street 1:23906 87TH AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEROSE
Mailing Address - State:NY
Mailing Address - Zip Code:11426-1204
Mailing Address - Country:US
Mailing Address - Phone:718-850-4989
Mailing Address - Fax:718-228-8371
Practice Address - Street 1:23906 87TH AVE
Practice Address - Street 2:
Practice Address - City:BELLEROSE
Practice Address - State:NY
Practice Address - Zip Code:11426-1204
Practice Address - Country:US
Practice Address - Phone:718-850-4989
Practice Address - Fax:718-228-8371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-18
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY31346343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)