Organization
MASTIC VOLUNTEER AMBULANCE COMPANY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUGENE THOMAS OMMUNDSEN (OFFICE MANAGER)
(516) 523-5507
Entity
Organization
Contact information
Practice address
1630 MONTAUK HWY, MASTIC, NY 11950-3010
(631) 281-4357
(631) 281-2422
Mailing address
ONE CENTRAL AVE., SUITE 111, TARRYTOWN, NY 10591-3301
(914) 366-4004
(914) 366-4111
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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