MEDICARE: PARK SLOPE 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	7144	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00101910	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	:	1851381313
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARK SLOPE VOLUNTEER AMBULANCE CORPS INC

Provider Business Mailing Address
First Line	:	PO BOX 170031
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11217-0031
Country	:	US
Telephone Number	:	614-987-2011
Fax Number	:	614-987-1989

Provider Business Practice Location Address
First Line	:	222 26TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11232-1610
Country	:	US
Telephone Number	:	718-398-4500
Fax Number	:

Authorized Official
Title or Position	:	EMS CHIEF
Name	:	MR. LOUIS GRECO III
Credential	:	EMT-P
Telephone Number	:	718-398-4500

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	09/07/2023

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