MEDICARE: ALBANY COUNTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance	6229	NY

General Provider Information

NPI Number	:	1356570592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBANY COUNTY

Provider Business Mailing Address
First Line	:	PO BOX 315
Second Line	:
City	:	VOORHEESVILLE
State	:	NY
Zip	:	12186
Country	:	US
Telephone Number	:	518-655-7846
Fax Number	:	518-655-7707

Provider Business Practice Location Address
First Line	:	58 VERDA AVE
Second Line	:
City	:	CLARKSVILLE
State	:	NY
Zip	:	12041
Country	:	US
Telephone Number	:	518-655-7846
Fax Number	:	518-655-7707

Authorized Official
Title or Position	:	CAPTAIN
Name	:	BRIAN WOOD
Credential	:
Telephone Number	:	518-655-7846

Provider Enumeration Date	:	07/09/2009
Last Update Date	:	01/22/2018

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Directions to “ALBANY COUNTY ” Practice Location

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