Healthcare Provider Details

I. General information

NPI: 1659370518
Provider Name (Legal Business Name): CITY OF OSWEGO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2005
Last Update Date: 03/29/2023
Certification Date: 03/29/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 E CAYUGA ST
OSWEGO NY
13126-1151
US

IV. Provider business mailing address

PO BOX 535
BALDWINSVILLE NY
13027-0535
US

V. Phone/Fax

Practice location:
  • Phone: 315-343-2161
  • Fax:
Mailing address:
  • Phone: 315-635-1789
  • Fax: 315-635-3289

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number10009
License Number StateNY

VIII. Authorized Official

Name: DEBORAH P COAD
Title or Position: CITY CHAMBERLAIN
Credential:
Phone: 315-342-8107