Provider Demographics
NPI:1124855325
Name:WAWAYANDA EMERGENCY MEDICAL SERVICES, TOWN OF
Entity type:Organization
Organization Name:WAWAYANDA EMERGENCY MEDICAL SERVICES, TOWN OF
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:DENISE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-355-5700
Mailing Address - Street 1:80 RIDGEBURY HILL RD
Mailing Address - Street 2:
Mailing Address - City:SLATE HILL
Mailing Address - State:NY
Mailing Address - Zip Code:10973-4231
Mailing Address - Country:US
Mailing Address - Phone:845-355-5700
Mailing Address - Fax:845-355-8207
Practice Address - Street 1:1906 ROUTE 284
Practice Address - Street 2:
Practice Address - City:SLATE HILL
Practice Address - State:NY
Practice Address - Zip Code:10973
Practice Address - Country:US
Practice Address - Phone:845-355-5700
Practice Address - Fax:845-355-8207
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-19
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport