Organization
MANORVILLE COMMUNITY AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS CAPORUSSO (ASSISTANT CHIEF)
(631) 278-2140
Entity
Organization
Contact information
Practice address
184 SOUTH ST, MANORVILLE, NY 11949-3051
(631) 278-2140
Mailing address
184 SOUH STREET, MANORVILLE, NY 11949
(631) 278-2140
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
07/28/2022
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