Organization Name: | MASSENA VOLUNTEER EMERGENCY UNIT |
NPI Number: | 1407236458 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JAN ERIK HONDUSKY (PRESIDENT) |
Mailing Address: | 341 E Orvis St Massena |
State: | NY US |
Postal Code: | 136623200 |
Phone Number: | 3157641744 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2015 |
NPI Last Update Date: | 08/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 3416L0300X |
License Number: | 32651 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Transportation Services |
Taxonomy Classification: | Ambulance |
Taxonomy Specialization: | Land Transport |
Taxonomy Definition: |