Organization
RIVERHEAD VOLUNTEER AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY T GENTILE (AUTHORIZED REPRESENTATIVE)
(860) 257-7080
Entity
Organization
Contact information
Practice address
111 OSBORN AVE, RIVERHEAD, NY 11901
(631) 727-2395
(631) 727-2375
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-7080
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0592
NY
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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