Organization
BOLTON EMERGENCY MEDICAL SERVICES, INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EARL JOSEPH MIKOLOSKI (OPERATIONS ADMINISTRATOR)
(518) 644-9283
Entity
Organization
Contact information
Practice address
5003 LAKE SHORE DRIVE, BOLTON LANDING, NY 12814-1054
(518) 644-3071
(518) 644-3074
Mailing address
PO BOX 1054, BOLTON LANDING, NY 12814-1054
(518) 644-3071
(518) 644-3074
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
0977
NY
Other
Enumeration date
01/30/2012
Last updated
01/30/2012
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