Organization
VOLUNTEER HEART RESUSCITATION UNIT AND AMBULANCE CORPS OF STATEN ISLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YIDES ROSENTHAL (AUTHORIZED AGENT)
(845) 781-2440
Entity
Organization
Contact information
Practice address
460 BRIELLE AVE, STATEN ISLAND, NY 10306-0252
(718) 979-5850
(718) 979-2435
Mailing address
48 BAKERTOWN RD, SUITE 407, MONROE, NY 10950-8428
(845) 781-2440
(845) 781-2424
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
7412
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01667505
—
NY
01
—
590010159
RAILROAD MEDICARE
—
Enumeration date
10/11/2005
Last updated
03/25/2014
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