Organization
BROADALBIN VOLUNTEER AMBULANCE CORP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA PFEIFFER (PRESIDENT)
(518) 705-3005
Entity
Organization
Contact information
Practice address
8 CENTER STREET, BROADALBIN, NY 12025
(518) 705-3005
Mailing address
PO BOX 4066, UTICA, NY 13504-4066
(315) 724-6619
(315) 797-2589
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1716
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02940852
—
NY
Enumeration date
06/27/2007
Last updated
02/10/2014
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