Organization
PHELPS AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD NIESKES (PRESIDENT)
(315) 521-7510
Entity
Organization
Contact information
Practice address
79 ONTARIO STREET, PHELPS, NY 14532-0000
(315) 548-3862
(315) 548-2552
Mailing address
PO BOX 81, PHELPS, NY 14532-0081
(315) 548-3862
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
10182
NY
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02670304
—
NY
Enumeration date
05/02/2006
Last updated
12/15/2025
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