Organization
TOWN OF COLUMBUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS P. GRACE (TOWN SUPERVISOR)
(607) 242-8957
Entity
Organization
Contact information
Practice address
4340 STATE HIGHWAY 80, SHERBURNE, NY 13460
(607) 226-1873
(607) 847-8891
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0987
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03569711
—
NY
Enumeration date
07/03/2012
Last updated
05/25/2023
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