Organization
LINDENWOOD COMMUNITY VOLUNTEER AMBULANCE CORPS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-9201
Entity
Organization
Contact information
Practice address
9410 133RD AVE, OZONE PARK, NY 11417-2022
(718) 738-3029
(718) 641-6464
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-9201
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
7353
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01440179
—
NY
01
—
590008132
RAILROAD MEDICARE
—
Enumeration date
10/26/2005
Last updated
10/01/2008
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