NPI 1003845736

Skenesborough Emergency Squad INC

Organisation Ambulance Whitehall, NY

Practice location

Address: 37 Skenesborough Dr, Whitehall, NY 12887
Phone: (315) 499-2122
Mailing address: 107 Washington Ave, Albany, NY 12210-2231

Authorised official

Name: Brandon Paul Sparks
Title: Captain
Phone: (518) 499-2122

Registered specialties

Ambulance Primary

Transportation Services Taxonomy 341600000X Licence 10696 (NY)

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Registry record

NPI: 1003845736
Entity type: Organization
NPI issued: 3 Jul 2006
Record last updated: 13 May 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.