Provider Demographics
NPI:1437166626
Name:MOREAU EMERGENCY SQUAD INC
Entity Type:Organization
Organization Name:MOREAU EMERGENCY SQUAD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:MYRA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SENEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-793-0980
Mailing Address - Street 1:1583 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:FORT EDWARD
Mailing Address - State:NY
Mailing Address - Zip Code:12828-2454
Mailing Address - Country:US
Mailing Address - Phone:518-793-0980
Mailing Address - Fax:518-793-1761
Practice Address - Street 1:1583 STATE RT 9
Practice Address - Street 2:
Practice Address - City:FORT EDWARD
Practice Address - State:NY
Practice Address - Zip Code:12828
Practice Address - Country:US
Practice Address - Phone:518-793-3011
Practice Address - Fax:518-793-1761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-01
Last Update Date:2017-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY10315341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No341600000XTransportation ServicesAmbulance