Organization
GLENDALE VOLUNTEER AMBULANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN GUNNING (PRESIDENT)
(585) 768-2192
Entity
Organization
Contact information
Practice address
6114 MYRTLE AVE, GLENDALE, NY 11385-6235
(585) 768-2192
Mailing address
8020 E MAIN RD, LE ROY, NY 14482-9704
(585) 768-2192
(585) 768-7323
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
7383
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01615961
—
NY
Enumeration date
02/28/2006
Last updated
10/17/2014
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