Organization
ISLAND EMERGENCY MEDICAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA REESE (PROVIDER ENROLLMENT OFFICER)
(330) 493-4443
Entity
Organization
Contact information
Practice address
327 BEACH 19TH ST, FAR ROCKAWAY, NY 11691-4423
(844) 474-4019
Mailing address
4535 DRESSLER RD NW, CANTON, OH 44718-2545
(844) 474-4019
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03010304
—
NY
01
—
W34971
GROUP NUMBER BCBS
NY
Enumeration date
11/02/2005
Last updated
02/24/2023
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