MEDICARE: TC HUDSON VALLEY AMBULANCE CORP.

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	3416L0300X	Land Ambulance	0667	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00019259	OTHER	NY	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	:	1689677551
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TC HUDSON VALLEY AMBULANCE CORP.

Provider Business Mailing Address
First Line	:	1 METROTECH CTR
Second Line	:	20TH FLOOR
City	:	BROOKLYN
State	:	NY
Zip	:	11201-3949
Country	:	US
Telephone Number	:	718-763-8888
Fax Number	:

Provider Business Practice Location Address
First Line	:	16 MIDDLEBUSH RD
Second Line	:
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-4004
Country	:	US
Telephone Number	:	845-225-8888
Fax Number	:	845-471-8084

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	MR. JAMES O'CONNOR
Credential	:
Telephone Number	:	718-510-9080

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	11/20/2012

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Directions to “TC HUDSON VALLEY AMBULANCE CORP. ” Practice Location

Language	Start Address	Practice Location

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