Organization
NORTHEASTERN AMBULANCE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN H GEBO (CO OWNER)
(518) 677-5906
Entity
Organization
Contact information
Practice address
206 BROADWAY, WHITEHALL, NY 12887
(516) 677-5906
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10289
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01556656
—
NY
01
—
951635
MVP
—
Enumeration date
06/27/2006
Last updated
08/22/2020
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