Provider Demographics
NPI:1205824612
Name:FLUSHING COMMUNITY VOLUNTEER AMBULANCE CORPS INC
Entity Type:Organization
Organization Name:FLUSHING COMMUNITY VOLUNTEER AMBULANCE CORPS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED AGENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:ORLANDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-366-4004
Mailing Address - Street 1:PO BOX 580339
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11358-0339
Mailing Address - Country:US
Mailing Address - Phone:718-353-4965
Mailing Address - Fax:914-366-4111
Practice Address - Street 1:4316 162ND ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11358-3131
Practice Address - Country:US
Practice Address - Phone:718-353-4965
Practice Address - Fax:718-353-4909
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-10
Last Update Date:2013-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY73463416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
590009318OtherRAILROAD MEDICARE
NY01553222Medicaid
NY01553222Medicaid