Organization
VILLAGE OF ESPERANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY T GENTILE (AUTHORIZED OFFICIAL)
(860) 257-7080
Entity
Organization
Contact information
Practice address
113 CHURCH ST, ESPERANCE, NY 12066-3230
(518) 875-9044
(518) 875-9348
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-7080
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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