Organization
WOODBURY COMMUNITY AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA CONQUES (PRESIDENT)
(845) 928-6464
Entity
Organization
Contact information
Practice address
376 ROUTE 32, CENTRAL VALLEY, NY 10917-3200
(845) 928-6464
(845) 928-3422
Mailing address
5330 SHERIDAN DRIVE, SUITE 3B, WILLIAMSVILLE, NY 14221-3730
(716) 204-3350
(716) 634-7170
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
32566
NY
341600000X
Ambulance
3532
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01431263
—
NY
01
—
590009200
RAILROAD MEDICARE
—
Enumeration date
10/11/2005
Last updated
04/29/2016
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