MEDICARE: TOWN OF COLONIE EMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	341600000X	Ambulance	03C0002	NY

General Provider Information

NPI Number	:	1194720300
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF COLONIE EMS

Provider Business Mailing Address
First Line	:	534 NEW LOUDON RD
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-5316
Country	:	US
Telephone Number	:	518-783-2817
Fax Number	:	518-783-2877

Provider Business Practice Location Address
First Line	:	534 NEW LOUDON RD
Second Line	:
City	:	LATHAM
State	:	NY
Zip	:	12110-5316
Country	:	US
Telephone Number	:	518-783-2817
Fax Number	:	518-783-2877

Authorized Official
Title or Position	:	ACCOUNTING ASSISTANT
Name	:	MS. LEEANNE BIANCE
Credential	:
Telephone Number	:	518-783-2817

Provider Enumeration Date	:	06/15/2005
Last Update Date	:	07/16/2024

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Directions to “TOWN OF COLONIE EMS ” Practice Location

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