Organization
UPSTATE AMBULATORY SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIA G CASTRO (OWNER)
(845) 275-7575
Entity
Organization
Contact information
Practice address
13 BUENA VISTA AVE, WALLKILL, NY 12589
(845) 275-7575
Mailing address
PO BOX 2411, NEWBURGH, NY 12550
(845) 275-7575
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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