BROOKHAVEN AMBULANCE CO., INC. (NPI# 1649828179) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649828179 |
| Entity Type | Organization |
| Organization Name | BROOKHAVEN AMBULANCE CO., INC. |
| Practice Address |
32 Seeley St. Brookhaven NY 11719-9408 |
| Mailing Address |
One Central Ave. Suite 111 Tarrytown NY 10591-3301 |
| Practice Telephone | 6312883400 |
| Practice Fax Number | 6312886371 |
| Mailing Telephone | 9143664004 |
| Mailing Fax Number | 9143664111 |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2019-08-28 |
| Authorized Official Name | GREGORY C. MIGLINO JR. (PRESIDENT) |
| Authorized Official Telephone | 6312863400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| South Country Ambulance | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | BROOKHAVEN AMBULANCE COMPANY, INC. | Po Box 712, Stony Brook, New York 11790 |
| Street Address |
32 SEELEY ST. |
| City | BROOKHAVEN |
| State | NY |
| Zip Code | 11719-9408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265717078 | Crista Lyn Pervelis | Social Worker | 101 Fireplace Neck Road, Brookhaven, NY 11719 | 2011-10-13 |
| 1609179324 | Terry Chirayil | Dentist | 990 Crooked Hill Rd, West Brentwood, NY 11719 | 2010-12-20 |
| 1679648604 | Federation of Organizations for The Ny State Mentally Disabled Inc | Case Management | 111 Beaver Dam Road, Brookhaven, NY 11719 | 2006-11-22 |
| 1528398914 | Bellhaven Management LLC | Skilled Nursing Facility | 110 Beaver Dam Rd, Brookhaven, NY 11719 | 2010-01-06 |
| 1134116387 | Annette F Racaniello | Family Medicine | 1 Andiron Ln, Brookhaven, NY 11719-0078 | 2005-10-03 |
| 1225408149 | Rachel Tirelli | Social Worker | 16 Beaverbrook Dr, Brookhaven, NY 11719-9404 | 2015-10-05 |
| 1558926816 | Vanessa Vaughan | Licensed Practical Nurse | 414 S Country Rd, Brookhaven, NY 11719-9405 | 2019-05-02 |
| 1275803736 | Alicia Mary Anderson | Registered Nurse | 7 Carman Blvd, Brookhaven, NY 11719-9428 | 2011-12-30 |
| 1053786897 | Ramsammy Medical PC | Clinic/Center | 8 Jareds Path, Brookhaven, NY 11719-9437 | 2015-12-04 |
| 1124358122 | Sharon Fullwood-louis | Registered Nurse | 11 Chestnut St, Brookhaven, NY 11719-9441 | 2010-01-13 |
| Find all providers in zip 11719 | ||||
| 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 | BROOKHAVEN |
| Zip Code | 11719 |
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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.