Healthcare 4 20yrs

Oh I apologize I have a habit of keeping my caps locked not realizing that its considered yelling on social media and forums my apologies.

ACTUALLY I BEEN TRYING TO FIND THE RIGHT PLACES TO CONTACT FOR MY QUESTIONS BUT ALL I'M FINDING IS UNNECESSARY SITES AND NYC DOH  IS NOT VERY HELPFUL.  

MY COMPANY ALREADY HAS AN ESTABLISHED AMBULANCE COMPANY IN NEW JERSEY NOW WE ARE THINKING ABOUT VENTURING OUT TO OTHER CITIES. MY QUESTION IS DO I HAVE TO OPEN A BASE IN NEW YORK CITY IF OR CAN I GET A PERMIT TO HAVE MY AMBULANCES DO BUSINESS IN NYC?