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Organization

HELDERBERG AMBULANCE SQUAD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-7080
Entity
Organization

Contact information

Practice address
ROUTE 443 MAIN STREET, EAST BERNE, NY 12059-0054
(518) 872-9111
(518) 872-2543
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-9201
(860) 721-6362

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0118
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01581837
NY
01
590009553
RAILROAD
NY
Enumeration date
10/26/2005
Last updated
06/03/2009
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