Organization
THOUSAND ISLANDS EMERGENCY RESCUE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL BENNETT (DIRECTOR OF OPERATIONS)
(315) 686-4333
Entity
Organization
Contact information
Practice address
100 UNION STREET, CLAYTON, NY 13624-9998
(315) 686-4333
(315) 686-4344
Mailing address
8020 E MAIN RD, LE ROY, NY 14482-9704
(585) 768-2192
(585) 768-7323
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
10174
NY
3416L0300X
Land Ambulance
Primary
0741
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02672264
—
NY
01
—
P00274166
PALMETTO GBA RR MEDICARE
—
Enumeration date
07/15/2006
Last updated
03/16/2018
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