Organization
TACONIC VALLEY AMBULANCE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CHURCH (CAPTAIN)
(518) 428-1055
Entity
Organization
Contact information
Practice address
17563 STATE ROUTE 22, BERLIN, NY 12022
(518) 410-8874
Mailing address
17563 STATE ROUTE 22, BERLIN, NY 12022
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
10/26/2021
Last updated
05/26/2022
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