Organization
BROOME VOLUNTEER EMERGENCY SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN BROWN (DIRECTOR OF OPERATIONS)
(607) 772-6565
Entity
Organization
Contact information
Practice address
261 COURT ST, BINGHAMTON, NY 13901-3602
(855) 978-6303
(888) 965-4620
Mailing address
PO BOX 29895, NEW YORK, NY 10087-9895
(855) 978-6303
(888) 965-4620
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
91091
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01011985
—
NY
01
—
590009931
RAILROAD MEDICARE
—
Enumeration date
11/11/2005
Last updated
11/21/2018
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