Healthcare Provider Details

I. General information

NPI: 1659369015
Provider Name (Legal Business Name): VILLAGE OF WEST WINFIELD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2005
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 WEST MAIN STREET
WEST WINFIELD NY
13491-0308
US

IV. Provider business mailing address

PO BOX 787
LATHAM NY
12110-0787
US

V. Phone/Fax

Practice location:
  • Phone: 315-822-6223
  • Fax: 315-822-0020
Mailing address:
  • Phone: 888-603-2455
  • Fax: 888-603-2455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number2118
License Number StateNY

VIII. Authorized Official

Name: RONALD SCOTT VANDUREN
Title or Position: TREASURER
Credential:
Phone: 315-822-3051