MEDICARE: TOWN OF WEBSTER

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	3416L0300X	Land Ambulance	6260	NY

General Provider Information

NPI Number	:	1972053320
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOWN OF WEBSTER

Provider Business Mailing Address
First Line	:	8610 MAIN STREET
Second Line	:
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-7455
Country	:	US
Telephone Number	:	716-204-3350
Fax Number	:	716-247-5274

Provider Business Practice Location Address
First Line	:	1030 JACKSON ROAD
Second Line	:
City	:	WEBSTER
State	:	NY
Zip	:	14580-8705
Country	:	US
Telephone Number	:	585-787-9060
Fax Number	:

Authorized Official
Title or Position	:	TOWN SUPERVISOR
Name	:	THOMAS J FLAHERTY
Credential	:
Telephone Number	:	585-872-7070

Provider Enumeration Date	:	10/10/2016
Last Update Date	:	04/23/2024

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Directions to “TOWN OF WEBSTER ” Practice Location

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