Organization
FORT EDWARD RESCUE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELLA STINE (PRESIDENT)
(518) 747-6198
Entity
Organization
Contact information
Practice address
75 SCHUYLER STREET, FORT EDWARD, NY 12828
(518) 747-6198
(518) 746-9479
Mailing address
5530 SHERIDAN DR, SUITE 3B, WILLIAMSVILLE, NY 14221-3730
(716) 204-3350
(716) 634-7170
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
09742
NY
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400562001
BS OF NORTHEASTERN NY
—
05
—
01767055
—
NY
01
—
10023189
CDPHP
—
01
—
590011143
PALMETTO GBA RAILROAD
—
01
—
958571
MVP
—
01
—
9718591
GHI
—
Enumeration date
11/23/2005
Last updated
12/22/2016
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