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Organization

TOWN OF WALLKILL VOLUNTEER AMBULANCE CORPS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EILEEN MANCUSO (PRESIDENT)
(845) 692-3173
Entity
Organization

Contact information

Practice address
22 MALTESE DRIVE, MIDDLETOWN, NY 10940-3317
(845) 342-9977
Mailing address
5530 SHERIDAN DR, SUITE 3B, WILLIAMSVILLE, NY 14221-3730
(716) 204-3350
(716) 634-7170

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
31677
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01814126
NY
01
590015600
MEDICARE RAILROAD
NY
Enumeration date
03/24/2006
Last updated
11/17/2015
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