Organization
TOWN OF COXSACKIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD K HANSE (TOWN SUPERVISOR)
(518) 731-2726
Entity
Organization
Contact information
Practice address
117 MANSION ST, COXSACKIE, NY 12051-1007
(518) 731-3687
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(315) 635-1789
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
12500
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00396617
RAILROAD MEDICARE
—
Enumeration date
02/14/2007
Last updated
05/25/2023
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