Healthcare Provider Details

I. General information

NPI: 1891785366
Provider Name (Legal Business Name): KERHONKSON ACCORD FIRST AID SQUAD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/26/2005
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6055 ROUTE 209
KERHONKSON NY
12446-3139
US

IV. Provider business mailing address

PO BOX 535
BALDWINSVILLE NY
13027-0535
US

V. Phone/Fax

Practice location:
  • Phone: 845-626-7978
  • Fax: 845-626-0942
Mailing address:
  • Phone: 800-927-5845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number5516
License Number StateNY

VIII. Authorized Official

Name: ROBERT Y NEWELL JR
Title or Position: TREASURER
Credential:
Phone: 845-706-2901