Organization
LAKE PLACID VOLUNTEER AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH E MARSHALL CPA (TREASURER)
(518) 523-8052
Entity
Organization
Contact information
Practice address
388 MILL POND DRIVE, LAKE PLACID, NY 12946
(518) 523-9512
(518) 523-5379
Mailing address
107 WASHINGTON AVE, ALBANY, NY 12210-2200
(888) 603-2455
(888) 603-2455
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
1530
NY
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01606055
—
NY
01
—
590009114
RAILROAD MEDICARE
—
Enumeration date
10/26/2005
Last updated
11/14/2014
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