Organization
SLOATSBURG COMMUNITY AMBULANCE CORPS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW GANNON (PRESIDENT)
(845) 753-2445
Entity
Organization
Contact information
Practice address
62 WASHINGTON AVE, SLOATSBURG, NY 10974-1718
(845) 753-2445
Mailing address
PO BOX 527, ORANGEBURG, NY 10962-0527
(610) 401-2041
(610) 401-2100
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01439936
—
NY
Enumeration date
06/11/2006
Last updated
10/23/2012
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