| Organization Name: | GALAXY AMBULANCE LLC |
| NPI Number: | 1508115031 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEONARD GUREVICH (PARTNER) |
| Mailing Address: | 501 Hartle St Suite 501 Sayreville |
| State: | NJ US |
| Postal Code: | 088721219 |
| Phone Number: | 8005965222 |
| Fax Number: | 8775965011 |
| NPI Enumeration Date: | 08/30/2012 |
| NPI Last Update Date: | 08/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 3416L0300X |
| License Number: | 1212074 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Transportation Services |
| Taxonomy Classification: | Ambulance |
| Taxonomy Specialization: | Land Transport |
| Taxonomy Definition: | |