MEDICARE: VILLAGE OF ILION

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	31100	NY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	590009796	OTHER	NY	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1710977103
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VILLAGE OF ILION

Provider Business Mailing Address
First Line	:	PO BOX 535
Second Line	:
City	:	BALDWINSVILLE
State	:	NY
Zip	:	13027-0535
Country	:	US
Telephone Number	:	315-635-1789
Fax Number	:	315-635-3289

Provider Business Practice Location Address
First Line	:	49 MORGAN ST.
Second Line	:
City	:	ILION
State	:	NY
Zip	:	13357-1714
Country	:	US
Telephone Number	:	315-894-6048
Fax Number	:	315-895-4001

Authorized Official
Title or Position	:	VILLAGE TREASURER
Name	:	MARIJO RICE
Credential	:
Telephone Number	:	315-895-7449

Provider Enumeration Date	:	10/26/2005
Last Update Date	:	05/28/2024

Similar Medicare Providers

1407859622 — MR. GEORGE LEE MARKWARDT NP
Practice Location Address:

55 CENTRAL PLZ
ILION, NY
13357-1701

Practice Phone: 315-894-0071
Practice Fax: 315-894-0078

1447257480 — DR. LYNN R HENRY O.D.
Practice Location Address:

23 CENTRAL PLZ
ILION, NY
13357-1701

Practice Phone: 315-894-3325
Practice Fax: 315-894-6000

1649279472 — DR. KRISHNA KUMAR VADLAMUDI M.D.
Practice Location Address:

45 1ST ST
ILION, NY
13357-1710

Practice Phone: 315-895-7408
Practice Fax: 315-894-2072

1639131170 — AMY S. MANNING P.T.
Practice Location Address:

33 CENTRAL PLZ
ILION, NY
13357-1701

Practice Phone: 315-895-4016
Practice Fax: 315-894-7326

1508810003 — DENISE MCVAY MPT
Practice Location Address:

33 CENTRAL PLZ
ILION, NY
13357-1701

Practice Phone: 315-895-4016
Practice Fax: 315-894-7326

1336186642 — DAWN E EVANS PT
Practice Location Address:

33 CENTRAL PLZ
ILION, NY
13357-1701

Practice Phone: 315-895-4016
Practice Fax: 315-894-7326

Directions to “VILLAGE OF ILION ” Practice Location

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