Organization
SAND LAKE AMBULANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAMISH C MCMILLAN (OPPERATIONS MANAGER)
(888) 603-2455
Entity
Organization
Contact information
Practice address
3643 NY ROUTE 43, WEST SAND LAKE, NY 12196
(518) 674-2221
(518) 674-1096
Mailing address
PO BOX 787, LATHAM, NY 12110-0787
(888) 603-2455
(518) 674-1096
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
12260
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01594325
—
NY
Enumeration date
08/19/2006
Last updated
05/22/2023
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