Organization
POTSDAM VOLUNTEER RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-9201
Entity
Organization
Contact information
Practice address
29 ELM ST, POTSDAM, NY 13676-1965
(315) 265-2550
(315) 265-6859
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-9201
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
4426
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01629547
—
NY
01
—
590009942
RAILROAD MEDICARE
—
Enumeration date
10/26/2005
Last updated
08/26/2008
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