Organization
DIAZ MEMORIAL AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BENJAMIN NREMT-P (MANAGER - PARAMEDIC)
(845) 246-9097
Entity
Organization
Contact information
Practice address
1 MAIN ST, SAUGERTIES, NY 12477-1124
(845) 246-9097
(845) 246-9230
Mailing address
1 MAIN ST, P.O. BOX 147, SAUGERTIES, NY 12477-1124
(845) 246-9097
(845) 246-9230
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
5514
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00406693
—
NY
01
—
922808
MVP HEALTH PLAN
NY
Enumeration date
11/09/2006
Last updated
09/24/2008
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