Provider Demographics
NPI:1457391104
Name:NYACK COMMUNITY AMBULANCE CORPS INC
Entity type:Organization
Organization Name:NYACK COMMUNITY AMBULANCE CORPS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-721-3187
Mailing Address - Street 1:P O BOX 8000 DEPT 539
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14267-0002
Mailing Address - Country:US
Mailing Address - Phone:610-670-7300
Mailing Address - Fax:610-401-2100
Practice Address - Street 1:251 N MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:NYACK
Practice Address - State:NY
Practice Address - Zip Code:10960-1636
Practice Address - Country:US
Practice Address - Phone:845-358-4824
Practice Address - Fax:845-358-1628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2024-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01509122Medicaid
NYA09751Medicare ID - Type Unspecified