Provider Demographics
NPI:1346596442
Name:EXPRESS AMBULANCE SERVICES INC
Entity type:Organization
Organization Name:EXPRESS AMBULANCE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DMITRY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOICHENKO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-546-6721
Mailing Address - Street 1:605 EDISON AVE
Mailing Address - Street 2:UNIT I
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19116-1259
Mailing Address - Country:US
Mailing Address - Phone:267-546-6721
Mailing Address - Fax:
Practice Address - Street 1:309 CAMER DR
Practice Address - Street 2:UNIT 2
Practice Address - City:BENSALEM
Practice Address - State:PA
Practice Address - Zip Code:19020-7323
Practice Address - Country:US
Practice Address - Phone:215-900-5824
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-26
Last Update Date:2013-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport