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NPI Code Detail

MEDICARE: RICHMOND COUNTY AMBULANCE SERVICE, INC

MEDICARE: RICHMOND COUNTY AMBULANCE SERVICE, 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
13416L0300XLand Ambulance09966NY

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 : 1679550982
Entity Type Code : Organization
Provider Name (Legal Business Name) : RICHMOND COUNTY AMBULANCE SERVICE, INC
Provider Business Mailing Address
First Line : 1355 CASTLETON AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10310-1704
Country : US
Telephone Number : 718-273-7703
Fax Number : 718-273-7479
Provider Business Practice Location Address
First Line : 1355 CASTLETON AVE
Second Line :
City : STATEN ISLAND
State : NY
Zip : 10310-1704
Country : US
Telephone Number : 718-273-7703
Fax Number : 718-273-7479
Authorized Official
Title or Position : CEO
Name : MR. ELIEZER C GEWIRTZMAN
Credential :
Telephone Number : 718-273-7703
Provider Enumeration Date : 12/28/2005
Last Update Date : 09/14/2018

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1184995508 — PROF. JOSEPHINE MARY SHEA LMHC,CRC,CASAC
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Directions to “RICHMOND COUNTY AMBULANCE SERVICE, INC ” Practice Location

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