Organization
WEST GLENS FALLS EMERGENCY SQUAD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDY J BOUCHER (PRESIDENT)
(888) 603-2455
Entity
Organization
Contact information
Practice address
86 LUZERNE RD, QUEENSBURY, NY 12804-3327
(518) 798-5011
Mailing address
PO BOX 676, GLENS FALLS, NY 12801-0676
(888) 603-2455
(888) 603-2455
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
5623
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02666517
—
NY
Enumeration date
09/26/2006
Last updated
06/03/2008
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