Organization
LYON MOUNTAIN AMBULANCE SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNETTE DUCKWORTH (CHIEF OPERATIONS OFFICER)
(585) 768-2192
Entity
Organization
Contact information
Practice address
9 FIREHOUSE RD, LYON MOUNTAIN, NY 12952
(518) 735-4334
Mailing address
PO BOX 208, LYON MOUNTAIN, NY 12952-0208
(518) 735-4334
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0917
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0917
NYS DEPARTMENT OF HEALTH
NY
Enumeration date
08/21/2018
Last updated
08/21/2018
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