MEDICARE: GLEN OAKS VOLUNTEER AMBULANCE CORPS INC

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
1	341600000X	Ambulance	7380	NY
2	3416L0300X	Land Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590008130	OTHER		RAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1427046895
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLEN OAKS VOLUNTEER AMBULANCE CORPS INC

Provider Business Mailing Address
First Line	:	25702 UNION TPKE
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11004-1252
Country	:	US
Telephone Number	:	718-347-1637
Fax Number	:

Provider Business Practice Location Address
First Line	:	25702 UNION TPKE
Second Line	:
City	:	FLORAL PARK
State	:	NY
Zip	:	11004-1252
Country	:	US
Telephone Number	:	718-347-1637
Fax Number	:	718-347-7631

Authorized Official
Title or Position	:	TREASURER
Name	:	DAVID T MEKETANSKY
Credential	:
Telephone Number	:	718-208-5675

Provider Enumeration Date	:	10/11/2005
Last Update Date	:	01/30/2024

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Directions to “GLEN OAKS VOLUNTEER AMBULANCE CORPS INC ” Practice Location

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