Organization
SPENCERPORT VOLUNTEER AMBULANCE SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE TEWKSBURY (PRESIDENT)
(585) 768-2192
Entity
Organization
Contact information
Practice address
116 LYELL AVE, SPENCERPORT, NY 14559-1812
(585) 768-2192
Mailing address
8020 E MAIN RD, LE ROY, NY 14482-9704
(585) 768-2192
(585) 768-7323
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
2735
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01667312
—
NY
01
—
PSPENCERPAM
MONROE PLAN
NY
Enumeration date
02/28/2006
Last updated
02/27/2013
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