Organization
VILLAGE OF WEST WINFIELD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED AGENT)
(800) 452-8181
Entity
Organization
Contact information
Practice address
MAIN STREET WEST, WEST WINFIELD, NY 13491-2900
(315) 822-6223
(315) 822-0020
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
2118
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01496895
—
NY
01
—
55091B
RAILROAD MEDICARE
NY
Enumeration date
10/22/2008
Last updated
12/15/2009
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