Provider Demographics
NPI:1164458022
Name:HAVERSTRAW AMBULANCE CORPS, INC
Entity Type:Organization
Organization Name:HAVERSTRAW AMBULANCE CORPS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-947-5550
Mailing Address - Street 1:PO BOX 8000, DEPT 029
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14267-0001
Mailing Address - Country:US
Mailing Address - Phone:800-207-5737
Mailing Address - Fax:610-401-2100
Practice Address - Street 1:160 NORTH ROUTE 9 WEST
Practice Address - Street 2:
Practice Address - City:HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10927
Practice Address - Country:US
Practice Address - Phone:845-947-5500
Practice Address - Fax:845-947-3160
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-23
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01734927Medicaid
NYA22311Medicare ID - Type Unspecified