Provider Demographics
NPI:1508037524
Name:OLIVE FIRST AID UNIT, INC.
Entity Type:Organization
Organization Name:OLIVE FIRST AID UNIT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:MINEW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-657-8984
Mailing Address - Street 1:5530 SHERIDAN DR
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-3730
Mailing Address - Country:US
Mailing Address - Phone:716-204-3350
Mailing Address - Fax:716-247-5274
Practice Address - Street 1:19 CHURCH STREET
Practice Address - Street 2:
Practice Address - City:SHOKAN
Practice Address - State:NY
Practice Address - Zip Code:12481
Practice Address - Country:US
Practice Address - Phone:845-657-8984
Practice Address - Fax:845-657-7285
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-18
Last Update Date:2015-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251V00000X
NY311423416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No251V00000XAgenciesVoluntary or Charitable