Organization
WALDEN AMBULANCE CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE SHORETTE (PRESIDENT)
(845) 288-1911
Entity
Organization
Contact information
Practice address
22 SOUTH MONTGOMERY STREET, WALDEN, NY 12586-0025
(845) 288-1911
(845) 778-9074
Mailing address
8610 MAIN STREET, WILLIAMSVILLE, NY 14221
(716) 204-3350
(716) 247-5274
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
11982
NY
3416L0300X
Land Ambulance
31266
NY
3416L0300X
Land Ambulance
Primary
—
—
Other
Enumeration date
05/06/2009
Last updated
10/26/2017
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