Provider Demographics
NPI:1700085289
Name:CAREWELL AMBULETTE INC.
Entity Type:Organization
Organization Name:CAREWELL AMBULETTE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KUREN
Authorized Official - Middle Name:V
Authorized Official - Last Name:PALLIANKAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-738-7600
Mailing Address - Street 1:514 MAIN ST STE 202
Mailing Address - Street 2:
Mailing Address - City:NEW ROCHELLE
Mailing Address - State:NY
Mailing Address - Zip Code:10801-6369
Mailing Address - Country:US
Mailing Address - Phone:914-738-7600
Mailing Address - Fax:
Practice Address - Street 1:514 MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:NEW ROCHELLE
Practice Address - State:NY
Practice Address - Zip Code:10801-6368
Practice Address - Country:US
Practice Address - Phone:914-738-7600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-13
Last Update Date:2007-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02513064343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02513064Medicaid