Healthcare Provider Details

I. General information

NPI: 1326022955
Provider Name (Legal Business Name): CAMBRIDGE VALLEY RESCUE SQUAD, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2005
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 GILBERT ST
CAMBRIDGE NY
12816-2618
US

IV. Provider business mailing address

PO BOX 535
BALDWINSVILLE NY
13027-0535
US

V. Phone/Fax

Practice location:
  • Phone: 518-677-8211
  • Fax:
Mailing address:
  • Phone: 315-635-1789
  • Fax: 315-635-3289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number10346
License Number StateNY

VIII. Authorized Official

Name: MARK HAROLD SPIEZIO
Title or Position: CHIEF
Credential:
Phone: 518-677-8211