Healthcare Provider Details

I. General information

NPI: 1740513092
Provider Name (Legal Business Name): CATSKILLS HATZALAH INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2009
Last Update Date: 04/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 BRICKMAN ROAD
FALLSBURG NY
12733-5399
US

IV. Provider business mailing address

1950 47TH STREET
BROOKLYN NY
11204-1306
US

V. Phone/Fax

Practice location:
  • Phone: 718-998-9000
  • Fax: 718-998-7834
Mailing address:
  • Phone: 718-998-9000
  • Fax: 718-998-7834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number5233
License Number StateNY

VIII. Authorized Official

Name: ISAAC STERN
Title or Position: TREASURER
Credential:
Phone: 718-998-9000