Organization
TUPPER LAKE VOLUNTEER AMBULANCE & EMERGENCY SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB COLLIER (ADMINISTRATOR)
(585) 768-2192
Entity
Organization
Contact information
Practice address
49 HIGH ST, TUPPER LAKE, NY 12986-1713
(585) 768-2192
Mailing address
PO BOX 186, LE ROY, NY 14482-0186
(585) 768-2192
(585) 768-7323
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1619
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01496859
—
NY
Enumeration date
02/28/2006
Last updated
03/11/2008
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