Organization
PETERSBURGH RESCUE AMBULANCE SQUAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ADRION (TREASURER)
(518) 892-8005
Entity
Organization
Contact information
Practice address
2 TWIN HILL ROAD, PETERSBURGH, NY 12138-0164
(518) 658-0113
Mailing address
PO BOX 535, BALDWINSVILLE, NY 13027-0535
(800) 927-5845
(315) 635-3289
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
4129
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01632053
—
NY
01
—
590015290
RAILROAD MEDICARE
—
Enumeration date
10/26/2005
Last updated
01/22/2024
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