Provider Demographics
NPI:1851381313
Name:PARK SLOPE VOLUNTEER AMBULANCE CORPS INC
Entity Type:Organization
Organization Name:PARK SLOPE VOLUNTEER AMBULANCE CORPS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMS CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:
Authorized Official - Last Name:GRECO
Authorized Official - Suffix:III
Authorized Official - Credentials:EMT-P
Authorized Official - Phone:718-398-4500
Mailing Address - Street 1:PO BOX 170031
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11217-0031
Mailing Address - Country:US
Mailing Address - Phone:614-987-2011
Mailing Address - Fax:614-987-1989
Practice Address - Street 1:222 26TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11232-1610
Practice Address - Country:US
Practice Address - Phone:718-398-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-26
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7144341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00101910OtherRAILROAD MEDICARE
NY01807372Medicaid
NYA28801Medicare PIN