Organization
SULLIVAN PARAMEDICINE, INC
Active
Other names
Mobilemedic EMS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA BOCKMAN (VICE PRESIDENT)
(845) 436-9111
Entity
Organization
Contact information
Practice address
266 MAIN ST, HURLEYVILLE, NY 12747-5431
(845) 436-9111
(845) 436-8313
Mailing address
PO BOX 1, HURLEYVILLE, NY 12747-0001
(845) 436-9111
(845) 436-8313
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
09295
NY
146M00000X
Intermediate Emergency Medical Technician
09295
NY
146N00000X
Basic Emergency Medical Technician
09295
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02415772
—
NY
Enumeration date
05/27/2005
Last updated
08/17/2018
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