Brewerton Volunteer Fire Department Ambulance, Inc.

NPI 1073750766 - Ambulance - 3416L0300X

NPI Details
NPI 1073750766
Enumeration Date 01/16/2009
Last Updated 08/06/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name MICHAEL J. MICHAEL
Position PRESIDENT/DIRECTOR
Phone (315) 422-0211
Fax (315) 428-8648
Practice Location
638 BURNET AVE
EMS BILLING OFFICE
SYRACUSE NY, 13203-2404, US
Phone (315) 422-0211
Fax (315) 428-8648
Business Location
638 BURNET AVE
EMS BILLING OFFICE
SYRACUSE NY, 13203-2404, US
Phone (315) 422-0211
Fax (315) 428-8648
Toxanomy
Taxonomy Code 3416L0300X
License State New York
License Number 11319
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According to our database, Brewerton Volunteer Fire Department Ambulance, Inc. NPI is 1073750766, taxonomy code is 3416L0300X and license number is 11319, license state is located at New York. Brewerton Volunteer Fire Department Ambulance, Inc. physically located at 638 Burnet Ave, Syracuse NY, 13203-2404. NPI Number 1033115704 has the healthcare provider type.

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1073750766 NPI number is provided on an as is basis without warranty of any kind. 1073750766 is maintained by the National Plan & Provider Enumeration System. The contents of Brewerton Volunteer Fire Department Ambulance, Inc. are for informational purposes only.