Organization
RICHMONDVILLE VOLUNTEER EMERGENCY SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-7080
Entity
Organization
Contact information
Practice address
388 MAIN STREET, RICHMONDVILLE, NY 12149-0011
(518) 294-8888
(601) 538-1539
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
4726
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01297447
—
NY
01
—
590008812
RAILROAD MEDICARE
—
Enumeration date
10/11/2005
Last updated
12/02/2010
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