Organization
TOWN OF NIAGARA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE S. WALLACE (TOWN SUPERVISOR)
(716) 297-2150
Entity
Organization
Contact information
Practice address
6010 LOCKPORT ROAD, NIAGARA FALLS, NY 14305
(716) 565-6200
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
33543
NY
Other
Enumeration date
09/23/2016
Last updated
09/23/2016
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