Organization
NORTH SENECA AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN LIGHTFOOTE (DIRECTOR OF OPERATIONS)
(315) 539-5002
Entity
Organization
Contact information
Practice address
1645 NORTH RD, WATERLOO, NY 13165-9447
(315) 539-5386
(315) 539-2464
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00450422
—
NY
01
—
441590098
PALMETTO GBA
—
01
—
9708738
GHI
—
Enumeration date
06/24/2006
Last updated
03/25/2024
Update your record
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