Provider Demographics
NPI:1265424808
Name:ROCKLAND PARAMEDIC SERVICES, INC.
Entity type:Organization
Organization Name:ROCKLAND PARAMEDIC SERVICES, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATIONS OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:WITKOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-344-3992
Mailing Address - Street 1:8 FAIRFAX AVE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-3406
Mailing Address - Country:US
Mailing Address - Phone:845-344-3992
Mailing Address - Fax:845-343-6069
Practice Address - Street 1:149 MAIN ST
Practice Address - Street 2:SUITE A
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2804
Practice Address - Country:US
Practice Address - Phone:845-344-3992
Practice Address - Fax:845-343-6069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-19
Last Update Date:2007-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY07073416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02496624Medicaid
PA1014944720001Medicaid
NYP00103244OtherRAILROAD MEDICARE
NY02496624Medicaid