Organization
PHILIPSTOWN VOLUNTEER AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-9201
Entity
Organization
Contact information
Practice address
14 CEDAR ST, COLD SPRING, NY 10516-1901
(845) 265-2103
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-9201
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
3916
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02021887
—
NY
01
—
590014805
RAILROAD MEDICARE
—
Enumeration date
10/26/2005
Last updated
03/24/2009
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