MASTIC VOLUNTEER AMBULANCE COMPANY, INC. (NPI# 1538700315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538700315 |
| Entity Type | Organization |
| Organization Name | MASTIC VOLUNTEER AMBULANCE COMPANY, INC. |
| Practice Address |
1630 Montauk Hwy Mastic NY 11950-3010 |
| Mailing Address |
One Central Ave. Suite 111 Tarrytown NY 10591-3301 |
| Practice Telephone | 6312814357 |
| Practice Fax Number | 6312812422 |
| Mailing Telephone | 9143664004 |
| Mailing Fax Number | 9143664111 |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2019-10-03 |
| Authorized Official Name | EUGENE THOMAS OMMUNDSEN (OFFICE MANAGER) |
| Authorized Official Telephone | 5165235507 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | MASTIC VOLUNTEER AMBULANCE COMPANY, INC. | P.o. Box 5, Mastic, New York 11950 |
| Street Address |
1630 MONTAUK HWY |
| City | MASTIC |
| State | NY |
| Zip Code | 11950-3010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508404054 | Ashley Arnold | Counselor | 1235 Montalk Highway, Mastic, NY 11950 | 2019-12-16 |
| 1457906935 | Creative Concepts Mental Health Counseling, PC | Counselor | 1360 Montauk Hwy 1st Floor East, Mastic, NY 11950 | 2019-08-02 |
| 1295242246 | Jamie Marie Lauro | Counselor | 37 Bedford Avenue, Mastic, NY 11950 | 2017-12-29 |
| 1932594025 | Elizabeth Liebson | Licensed Practical Nurse | 14 Logan Place, Mastic, NY 11950 | 2015-04-06 |
| 1659772341 | Lilianna Gul | Specialist | 12 Burney Blvd, Mastic, NY 11950 | 2014-09-12 |
| 1023423910 | Savannah Berliner | Nursing Home Administrator | 76 Franklin Ave, Mastic, NY 11950 | 2014-06-30 |
| 1104196013 | Ruth Ann Rainone | Registered Nurse | 170 Mastic Blvd, Mastic, NY 11950 | 2012-01-09 |
| 1174846489 | Amy Lynette Chaves | Licensed Practical Nurse | 158 Vanburen Street, Mastic, NY 11950 | 2010-03-02 |
| 1780805226 | Rosalye Diane Friedman | Social Worker | 1235 Montauk Highway, Mastic, NY 11950 | 2007-05-01 |
| 1063575066 | Walter E Haberstroh | Chiropractor | 1245 Montauk Hwy, Mastic, NY 11950 | 2006-12-19 |
| Find all providers in zip 11950 | ||||
| Taxonomy Code | 3416L0300X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Land Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
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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.