Organization
TOWN OF WILMINGTON
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
7 COMMUNITY CIRCLE, WILMINGTON, NY 12997-0000
(518) 946-7179
(860) 563-3403
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
0940
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03033245
—
NY
Enumeration date
06/10/2010
Last updated
02/22/2011
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