Organization
INDEPENDENCE EMERGENCY SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY HOWE (CAPTAIN)
(607) 356-3550
Entity
Organization
Contact information
Practice address
508 MAIN ST., WHITESVILLE, NY 14897
(607) 356-3550
Mailing address
8020 E MAIN RD, LE ROY, NY 14482-9704
(585) 768-2192
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0228
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02061512
—
NY
Enumeration date
07/26/2007
Last updated
06/23/2009
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