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General NPI Number Information
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NPI Number | 1144279126
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Entity Type | Organization
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Legal Business Name | BEDFORD STUYVESANT VOLUNTEER AMBULANCE CORPS
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 727 GREENE AVE
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City | BROOKLYN
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State | NY
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Zip | 11221-1904
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Country | US
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Telephone | 718-453-4617
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Fax |
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Provider Business Mailing Address
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Address Line | 48 BAKERTOWN RD STE 303
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City | MONROE
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State | NY
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Zip | 10950-8432
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Country | US
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Telephone | 845-781-2440
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANTOINE ROBINSON
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Credential |
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Telephone | 718-453-4617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 09905
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License Number State | NY
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