Organization
FOBARE'S AMBULETTE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE FOBARE (OFFICE MANAGER)
(518) 529-6072
Entity
Organization
Contact information
Practice address
865 STATE ROUTE 95, MOIRA, NY 12957-0322
(518) 529-6072
(518) 529-7338
Mailing address
PO BOX 322, 865 ST. RT. 95, MOIRA, NY 12957-0322
(518) 529-6072
(518) 529-7338
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
30331
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01181295
—
NY
Enumeration date
04/18/2007
Last updated
08/22/2020
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