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NPI Code Detail

MEDICARE: BEDFORD STUYVESANT VOLUNTEER AMBULANCE CORPS

MEDICARE: BEDFORD STUYVESANT VOLUNTEER AMBULANCE CORPS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
13416L0300XLand Ambulance09905NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144279126
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEDFORD STUYVESANT VOLUNTEER AMBULANCE CORPS
Provider Business Mailing Address
First Line : 48 BAKERTOWN RD STE 303
Second Line :
City : MONROE
State : NY
Zip : 10950-8432
Country : US
Telephone Number : 845-781-2440
Fax Number :
Provider Business Practice Location Address
First Line : 727 GREENE AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11221-1904
Country : US
Telephone Number : 718-453-4617
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ANTOINE ROBINSON
Credential :
Telephone Number : 718-453-4617
Provider Enumeration Date : 05/08/2006
Last Update Date : 07/09/2024

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Directions to “BEDFORD STUYVESANT VOLUNTEER AMBULANCE CORPS ” Practice Location

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