Organization
WILMINGTON VOLUNTEER FIRE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED AGENT)
(800) 452-8191
Entity
Organization
Contact information
Practice address
HASELTON RD, WILMINGTON, NY 12997-0425
(518) 946-7187
(518) 946-2157
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(800) 452-8191
(860) 721-6362
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
1523
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03033245
—
NY
01
—
590011494
RAILROAD MEDICARE
NY
Enumeration date
10/13/2005
Last updated
10/29/2008
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