Provider Demographics
NPI:1427046895
Name:GLEN OAKS VOLUNTEER AMBULANCE CORPS INC
Entity type:Organization
Organization Name:GLEN OAKS VOLUNTEER AMBULANCE CORPS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:T
Authorized Official - Last Name:MEKETANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-208-5675
Mailing Address - Street 1:25702 UNION TPKE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11004-1252
Mailing Address - Country:US
Mailing Address - Phone:718-347-1637
Mailing Address - Fax:
Practice Address - Street 1:25702 UNION TPKE
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11004-1252
Practice Address - Country:US
Practice Address - Phone:718-347-1637
Practice Address - Fax:718-347-7631
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7380341600000X
3416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
590008130OtherRAILROAD MEDICARE
NY01446895Medicaid
NY01446895Medicaid