Provider Demographics
NPI:1649828179
Name:BROOKHAVEN AMBULANCE CO., INC.
Entity type:Organization
Organization Name:BROOKHAVEN AMBULANCE CO., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:C
Authorized Official - Last Name:MIGLINO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:631-286-3400
Mailing Address - Street 1:ONE CENTRAL AVE.
Mailing Address - Street 2:SUITE 111
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-3301
Mailing Address - Country:US
Mailing Address - Phone:914-366-4004
Mailing Address - Fax:914-366-4111
Practice Address - Street 1:32 SEELEY ST.
Practice Address - Street 2:
Practice Address - City:BROOKHAVEN
Practice Address - State:NY
Practice Address - Zip Code:11719-9408
Practice Address - Country:US
Practice Address - Phone:631-288-3400
Practice Address - Fax:631-288-6371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-28
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport