Provider Demographics
NPI:1952402596
Name:DOBBS FERRY VOLUNTEER AMBULANCE CORPS INC
Entity Type:Organization
Organization Name:DOBBS FERRY VOLUNTEER AMBULANCE CORPS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARYBETH
Authorized Official - Middle Name:
Authorized Official - Last Name:STREB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-693-3619
Mailing Address - Street 1:PO BOX 30497
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10087-0497
Mailing Address - Country:US
Mailing Address - Phone:800-207-5737
Mailing Address - Fax:610-401-2100
Practice Address - Street 1:91 ASHFORD AVE
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1829
Practice Address - Country:US
Practice Address - Phone:914-693-3619
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-26
Last Update Date:2013-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY5939341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02665209Medicaid
NY02665209Medicaid