Healthcare Provider Details

I. General information

NPI: 1265412621
Provider Name (Legal Business Name): SCHENECTADY AMBULANCE SERVICE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 04/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

793 STATE ST
SCHENECTADY NY
12307-1209
US

IV. Provider business mailing address

357 KINGS RD
SCHENECTADY NY
12304-3645
US

V. Phone/Fax

Practice location:
  • Phone: 518-346-0218
  • Fax: 518-374-8511
Mailing address:
  • Phone: 518-374-4468
  • Fax: 518-374-4685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number10020
License Number StateNY

VIII. Authorized Official

Name: JAMES P MCPARTLON III
Title or Position: PRESIDENT
Credential:
Phone: 518-346-5060