New Life Van, Auto and Truck Modification

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEW LIFE VAN, AUTO AND TRUCK MODIFICATION

Practice address

971 State Route 42
Sparrow Bush, NY 12780-5014

Phone

(845) 361-1244

NPI assigned

Oct 23, 2012

Organization subpart

Yes

Parent organization

NEW LIVE VAN, AUTO AND TRUCK MODIFICATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Pamela Sue Burns

Title

President

Phone

(845) 361-1244

Specialties & licenses 1

Addresses

Part of

New Life Van Auto and Truck Modification

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1922351287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 VAN KEUREN AVE",
            "city": "PINE BUSH",
            "state": "NY",
            "postal_code": "125666603",
            "telephone_number": "845-361-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 STATE ROUTE 42",
            "city": "SPARROW BUSH",
            "state": "NY",
            "postal_code": "127805014",
            "telephone_number": "845-361-1244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE VAN, AUTO AND TRUCK MODIFICATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEW LIVE VAN, AUTO AND TRUCK MODIFICATION",
        "enumeration_date": "2012-10-23",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-361-1244",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Maria Escott
• Alexandria J Figueroa, LCSW
• Kathleen Hentschel, PTA
• Rebecca Elizabeth Kellerman
• Neuroadept Occupational Therapist
• Jennifer Osowick, RN
• Primary Health Solutions
• Anne L. Sigmund, RN

• Durable Medical Equipment & Medical Supplies in Sparrow Bush, NY
• Providers in Sparrow Bush, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.