Organization
ELLICOTTVILLE GREAT VALLEY AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN WARD (AUTHORIZED AGENT)
(716) 699-2300
Entity
Organization
Contact information
Practice address
FILMORE AVE, ELLICOTTVILLE, NY 14731-0074
(716) 945-1398
(716) 945-3340
Mailing address
555 INTERNATIONAL DR, WILLIAMSVILLE, NY 14221-5723
(716) 204-3350
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0427
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02653703
—
NY
Enumeration date
10/10/2005
Last updated
10/22/2007
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