| NPI | 1790186245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A DEAVERS Director 315-287-1321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 341600000X Ambulance (Licence: NY 4417) |
| Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) (Licence: NY 43946) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2014-09-15 |