Organization
MOHAWK COUNCIL OF AKWESASNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN WAPASS (EXECUTIVE DIRECTOR)
(613) 575-2341
Entity
Organization
Contact information
Practice address
818 STATE ROUTE 37, AKWESASNE, NY 13655-2175
(613) 575-2341
(613) 575-2341
Mailing address
5530 SHERIDAN DR STE 3B, WILLIAMSVILLE, NY 14221-3730
(716) 204-3350
(716) 634-7170
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
32787
NY
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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