Provider Demographics
NPI:1013104181
Name:TRI-BORO FIRST AID SQUAD INC.
Entity type:Organization
Organization Name:TRI-BORO FIRST AID SQUAD INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CAPTAIN
Authorized Official - Prefix:MISS
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:S
Authorized Official - Last Name:RICE
Authorized Official - Suffix:
Authorized Official - Credentials:MICP
Authorized Official - Phone:732-830-3236
Mailing Address - Street 1:PO BOX 868
Mailing Address - Street 2:
Mailing Address - City:VOORHEES
Mailing Address - State:NJ
Mailing Address - Zip Code:08043
Mailing Address - Country:US
Mailing Address - Phone:732-830-3236
Mailing Address - Fax:
Practice Address - Street 1:37 J STREET
Practice Address - Street 2:
Practice Address - City:SEASIDE PARK
Practice Address - State:NJ
Practice Address - Zip Code:08752
Practice Address - Country:US
Practice Address - Phone:732-830-3236
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJT151045341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance