Organization
SMITH AMBULANCE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD SMITH (OWNER)
(315) 852-6172
Entity
Organization
Contact information
Practice address
1659 CORTLAND STREET, DERUYTER, NY 13052
(315) 852-6172
Mailing address
1659 CORTLAND STREET, DERUYTER, NY 13052
(315) 852-6172
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00906881
—
NY
Enumeration date
10/26/2006
Last updated
08/22/2020
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