Organization
ELLENVILLE FIRST AID & RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE GRUNDT (CHIEF)
(845) 647-8181
Entity
Organization
Contact information
Practice address
1 WEBSTER ST, ELLENVILLE, NY 12428-1109
(845) 647-8181
(845) 647-3947
Mailing address
PO BOX 207, ALLENTOWN, PA 18105-0207
(484) 664-2007
(484) 664-2015
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
5515
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01581800
—
NY
Enumeration date
10/10/2005
Last updated
10/11/2012
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