Organization
TOWN OF CLINTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL LACLAIR (TOWN SUPERVISOR)
(518) 497-6133
Entity
Organization
Contact information
Practice address
23 SMITH STREET, CHURUBUSCO, NY 12923-0165
(518) 497-6133
(518) 497-6053
Mailing address
PO BOX 165, 23 SMITH STREET, CHURUBUSCO, NY 12923-0165
(518) 497-6133
(518) 497-6053
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
33486
NY
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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