Sylvan Liebla American Legion Post 1363

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

5212 Issued in NY

Legal business name

SYLVAN LIEBLA AMERICAN LEGION POST 1363

Practice address

17 Collins Road
Eldred, NY 12732

Phone

(845) 557-8915

Fax

(845) 557-8915

NPI assigned

Feb 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Louis Pine, EMT

Title

Secretary, Treasurer, Captain

Phone

(845) 557-6989

Specialties & licenses 1

Addresses

Other names 1

• American Legion Ambulance Service Other name

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1447398201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16996",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146160996",
            "telephone_number": "585-563-1112",
            "fax_number": "585-434-3312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 COLLINS ROAD",
            "city": "ELDRED",
            "state": "NY",
            "postal_code": "12732",
            "telephone_number": "845-557-8915",
            "fax_number": "845-557-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVAN LIEBLA AMERICAN LEGION POST 1363",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "PINE",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "SECRETARY, TREASURER, CAPTAIN",
        "authorized_official_telephone_number": "845-557-6989",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "EMT"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NY",
            "license": "5212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Legion Ambulance Service",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "American Legion Ambulance Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.