Organization
OLD FORGE FIRE DEPARTMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-9201
Entity
Organization
Contact information
Practice address
MAIN STREET, OLD FORGE, NY 13420-3616
(315) 369-3424
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-9201
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2116
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01678211
—
NY
Enumeration date
11/04/2005
Last updated
08/22/2020
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