Lebanon Valley Protective Association Inc

Organization Active NPI Ambulance · New Lebanon, NY

NPI 1578633012 · NPPES record last updated Aug 30, 2007

Key facts

NPI
1578633012
Entity type
Organization (NPI type 2)
Primary specialty
Ambulance 341600000X
License
1014 (NY)
Legal business name
LEBANON VALLEY PROTECTIVE ASSOCIATION INC
Practice address
523 Route 20
New Lebanon, NY 12125
Phone
(518) 794-9331
NPI assigned
Nov 9, 2006
Organization subpart
No

Authorized official

Name
Ms. Mary Young
Title
Captain
Phone
(518) 794-9331

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulance 341600000X 1014 NY Yes

Addresses

Primary practice location

523 Route 20
New Lebanon, NY 12125

Mailing address

PO Box 543
Cohoes, NY 12047-0543
Phone (518) 235-7670

Other identifiers

IdentifierTypeStateIssuer
01542149MedicaidNY

Other providers in New Lebanon, NY

All providers in New Lebanon, NY · Ambulance in New York

Sources for this page

Verify at the official NPI Registry.