GREENWOOD LAKE AMBULANCE, INC. (NPI# 1093049504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093049504 |
| Entity Type | Organization |
| Organization Name | GREENWOOD LAKE AMBULANCE, INC. |
| Practice Address |
74 Windermere Ave Greenwood Lake NY 10925-0223 |
| Mailing Address |
74 Windermere Ave P.o. Box 223 Greenwood Lake NY 10925-0223 |
| Practice Telephone | 8454772200 |
| Mailing Telephone | 8454772200 |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |
| Authorized Official Name | MS. EILEEN C DIFFLEY (PRESIDENT) |
| Authorized Official Telephone | 8457215682 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
03520 | NY | Transportation Services |
| Street Address |
74 WINDERMERE AVE |
| City | GREENWOOD LAKE |
| State | NY |
| Zip Code | 10925-0223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407170640 | Anthony Deluca | Pharmacist | 123 Windemere Ave, Greenwood Lake, NY 10925 | 2010-03-17 |
| 1558797902 | Erin Walter | Pharmacist | 123 Windermere Ave, Greenwood Lake, NY 10925 | 2013-09-17 |
| 1699066159 | Traci Jamroga Gleason | Occupational Therapy Assistant | 53 Gibson Road, Goshen, NY 10925 | 2011-05-02 |
| 1013314038 | Lucille Zirpoli | Massage Therapist | 101 Jersey Ave., Greenwood Lake, NY 10925-0451 | 2014-11-20 |
| 1649445701 | Anastasia P Belesis | Pharmacist | 123 Windmere Avenue, Greenwood Lake, NY 10925-1837 | 2008-04-29 |
| 1306267810 | Greenwood Lakwetaxi&towncarsinc | Non-emergency Medical Transport (VAN) | 97 Windermere Ave, Greenwood Lake, NY 10925-2109 | 2013-12-31 |
| 1497143770 | Ellen Bane Mahony | Registered Nurse | 60 Elm St, Greenwood Lake, NY 10925-2129 | 2015-01-08 |
| 1003460338 | Alexandriah Marie Sabarese | Registered Nurse | 74 Waterstone Rd, Greenwood Lake, NY 10925-2146 | 2019-07-25 |
| 1336425875 | Stacey J Gove | Specialist | 80 Waterstone Rd, Greenwood Lake, NY 10925-2146 | 2011-10-28 |
| 1699014324 | Lauren Graf | Speech-Language Pathologist | 80 Waterstone Rd, Greenwood Lake, NY 10925-2146 | 2013-01-31 |
| Find all providers in zip 10925 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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| Find all providers with the same taxonomy | ||||
| City | GREENWOOD LAKE |
| Zip Code | 10925 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.