Provider Demographics
NPI:1689176646
Name:KIRYAS JOEL VOLUNTEER EMERGENCY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:KIRYAS JOEL VOLUNTEER EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ISRAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KNOBLOCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-371-4141
Mailing Address - Street 1:51 FOREST RD STE 375
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-2963
Mailing Address - Country:US
Mailing Address - Phone:845-371-4141
Mailing Address - Fax:845-746-4255
Practice Address - Street 1:63 FOREST RD
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-2925
Practice Address - Country:US
Practice Address - Phone:845-371-4141
Practice Address - Fax:845-746-4255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-06
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY33603341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance