Provider Demographics
NPI:1043241599
Name:GREENE EMERGENCY SQUAD INC
Entity Type:Organization
Organization Name:GREENE EMERGENCY SQUAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:
Authorized Official - Last Name:STRENKERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-656-5688
Mailing Address - Street 1:PO BOX 4110, DEPT 330
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01888-4110
Mailing Address - Country:US
Mailing Address - Phone:607-656-5688
Mailing Address - Fax:
Practice Address - Street 1:30 BIRDSALL ST
Practice Address - Street 2:
Practice Address - City:GREENE
Practice Address - State:NY
Practice Address - Zip Code:13778-1050
Practice Address - Country:US
Practice Address - Phone:607-656-5688
Practice Address - Fax:607-656-5677
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-05
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY12671341600000X
NY316273416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYBA0808OtherMEDICARE
NY02743346Medicaid