Organization
VILLAGE OF SCOTIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY T GENTILE (AUTHORIZED AGENT)
(860) 257-7080
Entity
Organization
Contact information
Practice address
148 MOHAWK AVE, SCOTIA, NY 12302-2248
(518) 381-6114
(518) 381-1160
Mailing address
PO BOX 290184, WETHERSFIELD, CT 06129-0184
(860) 257-7080
(860) 563-3403
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
06/03/2010
Last updated
06/03/2010
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