Healthcare Provider Details

I. General information

NPI: 1346507050
Provider Name (Legal Business Name): MALONE EMS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/19/2012
Last Update Date: 05/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 FINNEY BLVD
MALONE NY
12953-1038
US

IV. Provider business mailing address

5530 SHERIDAN DR SUITE 3B
WILLIAMSVILLE NY
14221-3730
US

V. Phone/Fax

Practice location:
  • Phone: 518-483-4853
  • Fax: 518-483-6119
Mailing address:
  • Phone: 716-204-3350
  • Fax: 716-247-5274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number31922
License Number StateNY

VIII. Authorized Official

Name: MARK PERRY
Title or Position: PRESIDENT
Credential:
Phone: 518-483-4853