Provider Demographics
NPI:1053351700
Name:CHEVRA HATZOLOH OF ROCKLAND COUNTY INC.
Entity type:Organization
Organization Name:CHEVRA HATZOLOH OF ROCKLAND COUNTY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SYLVAIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-425-8979
Mailing Address - Street 1:48 BAKERTOWN RD STE 407
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NY
Mailing Address - Zip Code:10950-8434
Mailing Address - Country:US
Mailing Address - Phone:845-781-2402
Mailing Address - Fax:845-781-2424
Practice Address - Street 1:19 GROVE ST
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-3002
Practice Address - Country:US
Practice Address - Phone:845-425-8979
Practice Address - Fax:845-425-2213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-08
Last Update Date:2015-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01474919Medicaid
NY01474919Medicaid