Organization
PHILLGREY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID SHERMAN (PRESIDENT)
(315) 764-8195
Entity
Organization
Contact information
Practice address
202 N MAIN ST, MASSENA, NY 13662-1121
(315) 764-5939
(315) 764-1172
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01911146
—
NY
05
—
02992189
—
NY
Enumeration date
01/09/2006
Last updated
04/26/2023
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