Healthcare Provider Details
I. General information
NPI: 1376408740
Provider Name (Legal Business Name): TOWN OF BRUNSWICK
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/18/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
336 TOWN OFFICE RD
TROY NY
12180-8809
US
IV. Provider business mailing address
8610 MAIN ST
WILLIAMSVILLE NY
14221-7455
US
V. Phone/Fax
- Phone: 518-279-3461
- Fax: 518-279-4352
- Phone: 716-204-3350
- Fax: 716-247-5274
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BECKY
LEGACY
Title or Position: BOOKKEEPER
Credential:
Phone: 518-279-3461