Broad Channel Volunteers INC

NPI #1679561112 in Broad Channel, New York

Provider Information

NPI Number
1679561112
Entity Type
Organization
Organization Name
Broad Channel Volunteers INC
Primary Specialty
Ambulance
Enumeration Date
Oct 10, 2005
Last Updated
Oct 14, 2008

Practice Location

Address
15 NOEL RD
ZIP Code
11693-1037
Phone
(718) 474-6888

Authorized Official

Name
MS. MARY GENTILE
Title
AUTHORIZED AGENT
Phone
(800) 452-8191

Specialties & Taxonomy Codes

Specialty
Ambulance

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