Provider Demographics
NPI:1700102936
Name:VILLAGE OF BRIARCLIFF MANOR
Entity type:Organization
Organization Name:VILLAGE OF BRIARCLIFF MANOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VILLAGE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PHILIP
Authorized Official - Middle Name:
Authorized Official - Last Name:ZEGARELLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-944-2782
Mailing Address - Street 1:PO BOX 519
Mailing Address - Street 2:
Mailing Address - City:TARRYTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10591-0519
Mailing Address - Country:US
Mailing Address - Phone:914-366-4004
Mailing Address - Fax:914-366-4111
Practice Address - Street 1:1111 PLEASANTVILLE RD
Practice Address - Street 2:
Practice Address - City:BRIARCLIFF MANOR
Practice Address - State:NY
Practice Address - Zip Code:10510-1603
Practice Address - Country:US
Practice Address - Phone:914-944-2787
Practice Address - Fax:914-941-4837
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-13
Last Update Date:2016-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYA300029617Medicare PIN