Organization
RAQUETTE LAKE VOLUNTEER AMBULANCE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CORKY RISLEY (BUSINESS MANAGER)
(315) 723-9041
Entity
Organization
Contact information
Practice address
171 ROUTE 28, RAQUETTE LAKE, NY 13436-0125
(315) 354-4644
(315) 354-4228
Mailing address
PO BOX 125, RAQUETTE LAKE, NY 13436-0125
(315) 354-4644
(315) 354-4228
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1086
NY
Other
Enumeration date
03/24/2014
Last updated
03/24/2014
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