Provider Demographics
NPI:1710127816
Name:ESA HUDSON VALLEY INC.
Entity Type:Organization
Organization Name:ESA HUDSON VALLEY INC.
Other - Org Name:REGIONAL EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:WITKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-621-9300
Mailing Address - Street 1:38 ROUTE 9
Mailing Address - Street 2:
Mailing Address - City:FISHKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12524-2962
Mailing Address - Country:US
Mailing Address - Phone:845-621-9300
Mailing Address - Fax:845-897-1090
Practice Address - Street 1:38 ROUTE 9
Practice Address - Street 2:
Practice Address - City:FISHKILL
Practice Address - State:NY
Practice Address - Zip Code:12524-2962
Practice Address - Country:US
Practice Address - Phone:845-621-9300
Practice Address - Fax:845-897-1090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-02
Last Update Date:2018-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY11862341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY=========OtherTAX IDENTIFICATION NUMBER