Provider Demographics
NPI:1881871382
Name:DOOR TO DOOR AMBULETTE SERVICE OF NY LLC
Entity type:Organization
Organization Name:DOOR TO DOOR AMBULETTE SERVICE OF NY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MERRILL
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-386-8204
Mailing Address - Street 1:21 LITTLE MONHAGEN AVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-6292
Mailing Address - Country:US
Mailing Address - Phone:845-386-8204
Mailing Address - Fax:
Practice Address - Street 1:21 LITTLE MONHAGEN AVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-6292
Practice Address - Country:US
Practice Address - Phone:845-386-8204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-28
Last Update Date:2008-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)