Organization
RIDGEWOOD VOLUNTEER AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN M. MAHONEY EMT (CHAIRMAN)
(718) 386-7230
Entity
Organization
Contact information
Practice address
503 ONDERDONK AVE., RIDGEWOOD, NY 11385-1862
(718) 386-7230
(718) 386-7230
Mailing address
503 ONDERDONK AVE., RIDGEWOOD, NY 11385-1862
(718) 386-7230
(718) 386-7230
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
7368
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01671778
—
NY
01
—
590010302
RAILROAD MEDICARE
—
Enumeration date
10/11/2005
Last updated
01/02/2013
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