Organization
INDIAN RIVER AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE RONAS (DIRECTOR OF OPERATIONS)
(315) 530-3026
Entity
Organization
Contact information
Practice address
1 ANTWERP STREET, PHILADELPHIA, NY 13673
(315) 530-3026
Mailing address
8020 E MAIN RD, LE ROY, NY 14482-9704
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0952
NY
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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