Organization
MOHEGAN VOLUNTEER FIRE ASSOCIATION VOLUNTEER AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH CHODKOWSKI (CHAIRPERSON)
(914) 526-1005
Entity
Organization
Contact information
Practice address
1975 EAST MAIN ST, MOHEGAN LAKE, NY 10547
(914) 526-1005
(914) 526-1048
Mailing address
PO BOX 21027, NEW YORK, NY 10087-1027
(914) 526-1005
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10366
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01951275
—
NY
01
—
590013205
RR MEDICARE
—
01
—
900951
MVP
—
01
—
9634358
GHI
—
Enumeration date
04/08/2006
Last updated
06/03/2025
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