Organization
COVENTRY EMERGENCY SQUAD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE WEARNE (PRESIDENT)
(607) 371-1141
Entity
Organization
Contact information
Practice address
109 NORTH RD, GREENE, NY 13778-2377
(607) 371-1141
Mailing address
109 NORTH RD, GREENE, NY 13778-2377
(607) 371-1141
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
30300
NY
Other
Enumeration date
01/16/2012
Last updated
01/16/2012
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