Organization
PEEKSKILL COMMUNITY VOLUNTEER AMBULANCE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAUREEN CONNOLLY (TREASURER)
(914) 755-0450
Entity
Organization
Contact information
Practice address
1427 MAIN ST, PEEKSKILL, NY 10566
(914) 737-5310
Mailing address
PO BOX 5442, NEW YORK, NY 10087-5442
(914) 737-5310
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10136
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01402400
—
NY
01
—
319895
MVP
—
01
—
9599745
GHI
—
01
—
PEOA070510
EMPIRE BCBS
—
Enumeration date
07/11/2006
Last updated
04/02/2008
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