Healthcare Provider Details

I. General information

NPI: 1831285410
Provider Name (Legal Business Name): CORNING AMBULANCE SERVICE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3344 BAKER ST
CORNING NY
14830-1654
US

IV. Provider business mailing address

PO BOX 100296
ATLANTA GA
30384-0296
US

V. Phone/Fax

Practice location:
  • Phone: 607-936-4177
  • Fax: 607-937-9243
Mailing address:
  • Phone: 800-913-9106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number31660
License Number StateNY

VIII. Authorized Official

Name: BRIAN SCOTT TIERNEY
Title or Position: EVP, CHIEF FINANCIAL OFFICER
Credential:
Phone: 972-829-8407