Provider Demographics
NPI:1285489716
Name:HAMPTON BAYS VOLUNTEER AMBULANCE CORPS
Entity type:Organization
Organization Name:HAMPTON BAYS VOLUNTEER AMBULANCE CORPS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:LUCCARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-728-1222
Mailing Address - Street 1:18C PONQUOGUE AVE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON BAYS
Mailing Address - State:NY
Mailing Address - Zip Code:11946-1806
Mailing Address - Country:US
Mailing Address - Phone:631-728-1222
Mailing Address - Fax:
Practice Address - Street 1:18C PONQUOGUE AVE
Practice Address - Street 2:
Practice Address - City:HAMPTON BAYS
Practice Address - State:NY
Practice Address - Zip Code:11946-1806
Practice Address - Country:US
Practice Address - Phone:631-728-1222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport