Organization
COXSACKIE RESCUE SQUAD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. HEATHER M LIZOTTE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
119 MANSION ST, COXSACKIE, NY 12051-1018
(518) 731-9444
(518) 731-2620
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1915
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01423977
—
NY
Enumeration date
10/11/2005
Last updated
08/22/2020
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