Organization
LAKE GEORGE POST NO. 374 AMERICAN LEGION EMERGENCY SQUAD INC.
Active
Other names
Lake George Emergency Squad
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE W KILBURN (PRESIDENT)
(518) 668-9506
Entity
Organization
Contact information
Practice address
24 GAGE RD, LAKE GEORGE, NY 12845-6130
(518) 668-9506
(518) 668-5898
Mailing address
107 WASHINGTON AVE, ALBANY, NY 12210-2269
(518) 668-9506
(518) 668-5898
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10256
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400571001
BS OF NENY
—
05
—
01871094
—
NY
01
—
10027217
CDPHP
—
01
—
960242
MVP
—
01
—
9602726
GHI
—
Enumeration date
04/03/2006
Last updated
06/29/2015
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