Organization
PITTSTOWN VOLUNTEER EMERGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN JOSEPH LEBARRON (TREASURER)
(888) 603-2455
Entity
Organization
Contact information
Practice address
60 PARKER SCHOOL RD, JOHNSONVILLE, NY 12094-2613
(518) 663-8136
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
09965
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004000566002
BCBS OF NENY
—
05
—
01547277
—
NY
01
—
1011655
MEDICAID
VT
01
—
4123137
MVP
—
01
—
P00118527
PALMETTO RR MEDICARE
—
Enumeration date
06/20/2006
Last updated
03/31/2025
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