Healthcare Provider Details

I. General information

NPI: 1831172345
Provider Name (Legal Business Name): NORTHERN OSWEGO COUNTY AMBULANCE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2005
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 DELANO ST
PULASKI NY
13142-4204
US

IV. Provider business mailing address

PO BOX 535
BALDWINSVILLE NY
13027-0535
US

V. Phone/Fax

Practice location:
  • Phone: 315-298-6220
  • Fax: 315-298-2258
Mailing address:
  • Phone: 800-927-5845
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NORMAN WALLIS
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 315-298-6154