NPI 1215999669

Lake George Post No. 374 American Legion Emergency Squad INC.

Organisation Ambulance Lake George, NY

Practice location

Address: 24 Gage Rd, Lake George, NY 12845-6130
Phone: (518) 668-9506
Fax: (518) 668-5898
Mailing address: 107 Washington Ave, Albany, NY 12210-2269

Authorised official

Name: Bruce W Kilburn
Title: President
Phone: (518) 668-9506

Registered specialties

Ambulance Primary

Transportation Services Taxonomy 341600000X Licence 10256 (NY)

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Registry record

NPI: 1215999669
Entity type: Organization
NPI issued: 3 Apr 2006
Record last updated: 29 Jun 2015

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.