Organization
TOWN OF SHANDAKEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT STANLEY (TOWN SUPERVISOR)
(845) 688-7165
Entity
Organization
Contact information
Practice address
60 STATE ROUTE 42, SHANDAKEN, NY 12480-5410
(845) 688-5030
Mailing address
8 TURCOTTE MEMORIAL DR, ROWLEY, MA 01969-1706
(800) 488-4351
(978) 356-2721
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
03C0069
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00934767
—
NY
01
—
441590833
RAILROAD MEDICARE
—
Enumeration date
06/27/2007
Last updated
10/20/2013
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