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Raquette Lake Fire Department INC

Ambulance in Raquette Lake, NY. Organization (NPI-2).

NPI number1962492421
StatusActive
Last updated in NPPESApr 15, 2010

Details

NPI
1962492421
Entity type
Organization (NPI-2)
Legal business name
Raquette Lake Fire Department INC
Organization subpart
No
Enumeration date
Oct 26, 2005
Last updated
Apr 15, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
341600000X Ambulance2017NYYes

Practice location

171 Route 28
Raquette Lake, NY 13436-0160

Phone 315-354-4644 · Fax 315-354-5069

Mailing address

Po Box 290184
Wethersfield, CT 06129-0184

Phone 860-257-9201 · Fax 860-721-6362

Authorized official

Mary T Gentile
Authorized Agent
8602579201

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