Organization
WEST EATON VOLUNTEER AMB CORP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
2745 EAGLEVILLE ROAD, WEST EATON, NY 13484-0168
(315) 684-7287
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
2626
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02752436
—
NY
Enumeration date
12/28/2005
Last updated
09/09/2010
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