Provider Demographics
NPI:1770979668
Name:MORNING STAR AMBULETTE SERVICES INC.
Entity type:Organization
Organization Name:MORNING STAR AMBULETTE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:MR
Authorized Official - First Name:ABDALLA
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:ABDELMAGED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-377-7782
Mailing Address - Street 1:8422 AVENUE J
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11236-3822
Mailing Address - Country:US
Mailing Address - Phone:718-377-7782
Mailing Address - Fax:718-377-1312
Practice Address - Street 1:8422 AVENUE J
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11236-3822
Practice Address - Country:US
Practice Address - Phone:718-377-7782
Practice Address - Fax:718-377-1312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-08
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02830922Medicaid