Organization
NORTH EAST ADVANCED LIFE SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTIAN P BODNER (CHIEF EXECUTIVE OFFICER)
(518) 273-2705
Entity
Organization
Contact information
Practice address
4 CORTLAND DR, ALBANY, NY 12211-1319
(888) 603-2455
(888) 603-2455
Mailing address
4 CORTLAND DR, ALBANY, NY 12211-1319
(888) 603-2455
(888) 603-2455
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0849
NY
Other
Enumeration date
11/06/2007
Last updated
11/06/2007
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