Provider Demographics
NPI:1881759223
Name:ROCKLAND AMBULETTE SERVICE, INC.
Entity type:Organization
Organization Name:ROCKLAND AMBULETTE SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:V.P.-SEC.
Authorized Official - Prefix:MS
Authorized Official - First Name:ELVIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ABORDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-352-8808
Mailing Address - Street 1:324 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-2907
Mailing Address - Country:US
Mailing Address - Phone:845-352-8808
Mailing Address - Fax:845-352-8813
Practice Address - Street 1:324 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-2907
Practice Address - Country:US
Practice Address - Phone:845-352-8808
Practice Address - Fax:845-352-8813
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30648343800000X, 343900000X, 344600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered343800000XTransportation ServicesSecured Medical Transport (VAN)
Not Answered343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Not Answered344600000XTransportation ServicesTaxi
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01017876Medicaid