Organization
WATERVILLE AREA VOLUNTEER AMBULANCE CORP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY E ORENDORFF (PRESIDENT OF BOARD)
(315) 861-7604
Entity
Organization
Contact information
Practice address
7769 STATE ROUTE 20, WATERVILLE, NY 13480-2205
(315) 841-4400
(315) 841-4400
Mailing address
PO BOX 4066, UTICA, NY 13504-4066
(315) 724-6619
(315) 797-2589
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
3229
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01448631
—
NY
Enumeration date
10/10/2005
Last updated
08/22/2020
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