Organization
LEBANON VALLEY PROTECTIVE ASSOCIATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY YOUNG (CAPTAIN)
(518) 794-9331
Entity
Organization
Contact information
Practice address
523 ROUTE 20, NEW LEBANON, NY 12125
(518) 794-9331
Mailing address
PO BOX 543, COHOES, NY 12047-0543
(518) 235-7670
(518) 235-7601
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1014
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01542149
—
NY
Enumeration date
11/09/2006
Last updated
08/30/2007
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