Organization
JAMAICA ESTATES HOLLISWOOD SOUTH BAYSIDE VOLUNTEER AMBULANCE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-9201
Entity
Organization
Contact information
Practice address
207 07 UNION TURNPIKE, BAYSIDE, NY 11364-3234
(718) 464-0592
(917) 644-1924
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-9201
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
7381
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01478459
—
NY
01
—
1386634848
RAILROAD MEDICARE
NY
Enumeration date
10/26/2005
Last updated
02/06/2009
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