Organization
ORISKANY FALLS VOLUNTEER AMBULANCE CORPS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL PETRIE (OPERATIONS MANAGER)
(315) 821-3387
Entity
Organization
Contact information
Practice address
172 MADISON STREET, ORISKANY FALLS, NY 13425
(315) 821-6171
(315) 821-6171
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
0743
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02757459
—
NY
Enumeration date
10/11/2006
Last updated
06/10/2013
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