Provider Demographics
NPI:1770575318
Name:ROCKLAND MOBILE CARE, INC.
Entity type:Organization
Organization Name:ROCKLAND MOBILE CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:FLORIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-627-8615
Mailing Address - Street 1:149 MAIN ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:NANUET
Mailing Address - State:NY
Mailing Address - Zip Code:10954-2804
Mailing Address - Country:US
Mailing Address - Phone:845-627-8615
Mailing Address - Fax:845-627-6728
Practice Address - Street 1:149A MAIN ST
Practice Address - Street 2:
Practice Address - City:NANUET
Practice Address - State:NY
Practice Address - Zip Code:10954-2804
Practice Address - Country:US
Practice Address - Phone:845-627-8615
Practice Address - Fax:845-627-6728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-19
Last Update Date:2008-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY05153416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY590013229OtherRAILROAD MEDICARE
NY01922783Medicaid
NYA34551Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER