Organization
CORONA COMMUNITY AMBULANCE CORPS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT PERNA (AUTHORIZED AGENT)
(718) 592-7964
Entity
Organization
Contact information
Practice address
10438 47TH AVE, CORONA, NY 11368-2821
(718) 592-7964
(718) 592-1625
Mailing address
PO BOX 519, TARRYTOWN, NY 10591-0519
(914) 366-4004
(914) 366-4111
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
7344
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01655150
—
NY
01
—
1467440867
RAILROAD MEDICARE
NY
Enumeration date
10/10/2005
Last updated
06/23/2014
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