Organization
MOHAWK VALLEY AMBULANCE CORPS, INC
Active
Other names
MOVAC
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A. EISENHUT (PRESIDENT)
(315) 749-8000
Entity
Organization
Contact information
Practice address
15 STATE ROUTE 5S, MOHAWK, NY 13407-0000
(315) 866-2336
(315) 866-1736
Mailing address
8610 MAIN STREET, WILLIAMSVILLE, NY 14221-7455
(716) 204-3350
(716) 247-5274
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2121
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01448640
—
NY
Enumeration date
08/25/2006
Last updated
02/22/2022
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