Organization
VILLAGE OF MADISON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA ZITO (AUTHORIZED AGENT)
(315) 724-6619
Entity
Organization
Contact information
Practice address
7362 STATE ROUTE 20, MADISON, NY 13402-9530
(315) 893-1894
(315) 893-7402
Mailing address
PO BOX 4066, UTICA, NY 13504-4066
(315) 724-6619
(315) 797-2579
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0757
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02664006
—
NY
01
—
P00239467
RAILROAD
NY
Enumeration date
10/26/2005
Last updated
04/20/2020
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