Provider Demographics
NPI:1700970852
Name:ACTION AMBULETTE INC.
Entity Type:Organization
Organization Name:ACTION AMBULETTE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:TARSHIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-968-3200
Mailing Address - Street 1:844 NEPPERHAN AVE
Mailing Address - Street 2:
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-2011
Mailing Address - Country:US
Mailing Address - Phone:914-968-1778
Mailing Address - Fax:
Practice Address - Street 1:844 NEPPERHAN AVE
Practice Address - Street 2:
Practice Address - City:YONKERS
Practice Address - State:NY
Practice Address - Zip Code:10703-2011
Practice Address - Country:US
Practice Address - Phone:914-968-1778
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYB90269343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01157964Medicaid