Organization
WEST LEYDEN VOLUNTEER AMBULANCE COMPANY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY T GENTILE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
1046 STATE RT 26, WEST LEYDEN, NY 13489-0205
(315) 942-5270
(315) 942-4666
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
0721
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02220560
—
NY
Enumeration date
10/11/2005
Last updated
06/25/2010
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