Organization
MID-COUNTY VOLUNTEER AMBULANCE SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW F LACOMB AEMT-P (PRESIDENT)
(518) 673-2039
Entity
Organization
Contact information
Practice address
46 WEST GRAND STREET, PALATINE BRIDGE, NY 13428
(518) 673-2039
(518) 673-3106
Mailing address
PO BOX 453, PALATINE BRIDGE, NY 13428-0453
(518) 673-2039
(518) 673-3106
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2813
NY
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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