Organization
PORT JERVIS VOLUNTEER AMBCORPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANNON A AUMICK (PRESIDENT)
(845) 856-7051
Entity
Organization
Contact information
Practice address
CHURCH ST. & BARCELOW ST., PORT JERVIS, NY 12271
(845) 856-3033
Mailing address
PO BOX 4, PORT JERVIS, NY 12771-0004
(845) 856-3033
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NY
Other
Enumeration date
08/09/2005
Last updated
08/22/2020
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