Organization
INCORPORATED VILLAGE OF EAST ROCKAWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT BRISTOL (CPT)
(516) 319-8570
Entity
Organization
Contact information
Practice address
473 ATLANTIC AVE, EAST ROCKAWAY, NY 11518-1414
(516) 319-8570
Mailing address
473 ATLANTIC AVE, EAST ROCKAWAY, NY 11518-1414
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
01/26/2024
Last updated
04/11/2024
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