Healthcare Provider Details

I. General information

NPI: 1760378798
Provider Name (Legal Business Name): TOWN OF HAMBURG
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/16/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 SOUTH PARK AVENUE
HAMBURG NY
14075
US

IV. Provider business mailing address

8610 MAIN STREET
WILLIAMSBURG NY
14221-7455
US

V. Phone/Fax

Practice location:
  • Phone: 716-649-6111
  • Fax:
Mailing address:
  • Phone: 716-204-3350
  • Fax: 716-247-5274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: MRS. CATHERINE ANN XRYBEZYNSKI
Title or Position: X SUPERVISOR
Credential:
Phone: 716-649-6111