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Organization

NORTHERN ONONDAGA VOLUNTEER AMBULANCE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN MARKO (EXECUTIVE DIRECTOR)
(315) 622-1443
Entity
Organization

Contact information

Practice address
4425 BUCKLEY RD, LIVERPOOL, NY 13090-2200
(315) 622-1443
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
(315) 635-3289

Taxonomy

Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
10492
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01614864
NY
01
590009779
PALMETTO GBA
01
953196
MVP
01
9705205
GHI
Enumeration date
05/17/2006
Last updated
04/21/2023
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