Organization
GOSHEN VOLUNTEER AMBULANCE CORPS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE LYONS (PRESIDENT)
(845) 294-9695
Entity
Organization
Contact information
Practice address
7 NEW ST, GOSHEN, NY 10924-1909
(845) 294-9695
(845) 294-9291
Mailing address
8610 MAIN ST, WILLIAMSVILLE, NY 14221-7455
(716) 204-3350
(716) 247-5274
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
10108
NY
3416L0300X
Land Ambulance
Primary
33564
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02211058
—
NY
01
—
590015564
MEDICARE RAILROAD
NY
Enumeration date
04/27/2006
Last updated
05/07/2018
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