Organization
PINE BUSH AREA AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT COHEN (CAPTAIN/CHIEF OPERATIONS OFFICER)
(845) 590-4537
Entity
Organization
Contact information
Practice address
131 CENTER ST, PINE BUSH, NY 12566-0000
(845) 744-5391
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
09770
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01778454
—
NY
01
—
10037372
CDPHP
—
01
—
3200117
GHI
—
01
—
590011565
PALMETTO RR MEDICARE
—
01
—
965484
MVP
—
01
—
PI0A260920
EMPIRE BCBS
—
Enumeration date
07/17/2006
Last updated
06/05/2024
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