Provider Demographics
NPI:1093284499
Name:CENTRAL ISLIP-HAUPPAUGE VOLUNTEER AMBULANCE, INC.
Entity Type:Organization
Organization Name:CENTRAL ISLIP-HAUPPAUGE VOLUNTEER AMBULANCE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD CHAIRMAN
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:V
Authorized Official - Last Name:RYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-582-4414
Mailing Address - Street 1:4 PINEVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CENTRAL ISLIP
Mailing Address - State:NY
Mailing Address - Zip Code:11722-2311
Mailing Address - Country:US
Mailing Address - Phone:631-582-4414
Mailing Address - Fax:
Practice Address - Street 1:4 PINEVILLE ROAD
Practice Address - Street 2:
Practice Address - City:CENTRAL ISLIP
Practice Address - State:NY
Practice Address - Zip Code:11722-2311
Practice Address - Country:US
Practice Address - Phone:631-582-4414
Practice Address - Fax:631-582-2615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-15
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport