Organization
BENSONHURST VOLUNTEER AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY GENTILE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
8310 17TH AVE, BROOKLYN, NY 11214-2118
(718) 837-5032
(718) 331-4744
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
7193
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01363253
—
NY
01
—
590008536
RAILROAD MEDICARE
—
Enumeration date
10/10/2005
Last updated
12/20/2011
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