Provider Demographics
NPI:1902336217
Name:K&M AMBULETTE CORP.
Entity Type:Organization
Organization Name:K&M AMBULETTE CORP.
Other - Org Name:B&B AMBULETTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:
Authorized Official - Last Name:MILO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-279-3435
Mailing Address - Street 1:1663 ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:BREWSTER
Mailing Address - State:NY
Mailing Address - Zip Code:10509-4048
Mailing Address - Country:US
Mailing Address - Phone:845-279-3435
Mailing Address - Fax:
Practice Address - Street 1:1663 ROUTE 22
Practice Address - Street 2:
Practice Address - City:BREWSTER
Practice Address - State:NY
Practice Address - Zip Code:10509-4048
Practice Address - Country:US
Practice Address - Phone:845-279-3435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)