Organization
GREENPORT RESCUE SQUAD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO D MERANTE JR. (VP BOARD OF DIRECTORS)
(518) 822-8511
Entity
Organization
Contact information
Practice address
3 NEWMAN RD, HUDSON, NY 12534-4040
(518) 822-8511
(518) 822-0047
Mailing address
PO BOX 275, HUDSON, NY 12534-4040
(518) 822-8511
(518) 822-0047
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1013
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01199155
—
NY
01
—
10015395
CDPHP
NY
Enumeration date
11/28/2006
Last updated
08/22/2020
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