Provider Demographics
NPI:1730275959
Name:FLUSHING MEDICAL AMBULETTE INC
Entity type:Organization
Organization Name:FLUSHING MEDICAL AMBULETTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YOUSIF
Authorized Official - Middle Name:B
Authorized Official - Last Name:ABDELMAGID
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-809-4286
Mailing Address - Street 1:97-20 57TH AVE
Mailing Address - Street 2:11A
Mailing Address - City:CORONA
Mailing Address - State:NY
Mailing Address - Zip Code:11368-3535
Mailing Address - Country:US
Mailing Address - Phone:718-896-5511
Mailing Address - Fax:718-699-4617
Practice Address - Street 1:23-57 83RD STREET
Practice Address - Street 2:
Practice Address - City:EAST ELMHURST
Practice Address - State:NY
Practice Address - Zip Code:11370-1630
Practice Address - Country:US
Practice Address - Phone:718-896-5511
Practice Address - Fax:718-699-4617
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01427325Medicaid