Healthcare Provider Details

I. General information

NPI: 1134493554
Provider Name (Legal Business Name): CITY OF SARATOGA SPRINGS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2012
Last Update Date: 12/20/2023
Certification Date: 12/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 LAKE AVE
SARATOGA SPRINGS NY
12866-2316
US

IV. Provider business mailing address

PO BOX 535
BALDWINSVILLE NY
13027-0535
US

V. Phone/Fax

Practice location:
  • Phone: 518-587-3599
  • Fax: 518-587-3539
Mailing address:
  • Phone: 315-635-1789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number30372
License Number StateNY

VIII. Authorized Official

Name: AARON DYER
Title or Position: CHIEF
Credential:
Phone: 518-587-3599