Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 341600000X | Ambulance | | ALSFR 91054 | NEW YORK | No |
| 2 | 343800000X | Secured Medical Transport (VAN) | | AMBULANCE NON EMERG | NEW YORK | No |
| 3 | 343900000X | Non-emergency Medical Transport (VAN) | | CASE 28448 | NEW YORK | No |
| 4 | 341600000X | Ambulance | | NYS 10572 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 010065963 | OTHER | NEW YORK | EXCELLUS BLUE CHOICE |
| 2 | 02991000 | MEDICAID | NEW YORK | |
| 3 | 00469154 | MEDICAID | NEW YORK | |
| 4 | AM040 | OTHER | NEW YORK | PREFERRED CARE |
| 5 | MM | OTHER | NEW YORK | EXCELLUS BC/BS |
| 6 | 911781400F | OTHER | FLORIDA | FLORIDA MEDICAID |
| 7 | 8190454 | OTHER | NEW YORK | EVERCARE |
