Organization
EASTCHESTER VOLUNTEER AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
257 MAIN ST, EASTCHESTER, NY 10709-2901
(914) 337-3051
(914) 779-1463
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
5940
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01464644
—
NY
01
—
590008543
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
04/23/2010
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