Organization
AVON ROTARY-LIONS AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES CORCORAN (PRESIDENT)
(585) 768-2192
Entity
Organization
Contact information
Practice address
74 GENESEE ST, AVON, NY 14414-1220
(585) 768-2192
Mailing address
PO BOX 186, LE ROY, NY 14482-0186
(585) 768-2192
(585) 768-7323
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2512
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01686259
—
NY
Enumeration date
02/28/2006
Last updated
10/18/2007
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