Provider Demographics
NPI:1407236458
Name:MASSENA VOLUNTEER EMERGENCY UNIT
Entity Type:Organization
Organization Name:MASSENA VOLUNTEER EMERGENCY UNIT
Other - Org Name:MASSENA RESCUE SQUAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:ERIK
Authorized Official - Last Name:HONDUSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-764-1744
Mailing Address - Street 1:341 E ORVIS ST
Mailing Address - Street 2:
Mailing Address - City:MASSENA
Mailing Address - State:NY
Mailing Address - Zip Code:13662-3200
Mailing Address - Country:US
Mailing Address - Phone:315-764-1744
Mailing Address - Fax:
Practice Address - Street 1:341 E ORVIS ST
Practice Address - Street 2:
Practice Address - City:MASSENA
Practice Address - State:NY
Practice Address - Zip Code:13662-3200
Practice Address - Country:US
Practice Address - Phone:315-764-1744
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY326513416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport