North East Advanced Life Support, LLC

NPI #1174703383 in Albany, New York

Provider Information

NPI Number
1174703383
Entity Type
Organization
Organization Name
North East Advanced Life Support, LLC
Primary Specialty
Ambulance
Enumeration Date
Nov 6, 2007
Last Updated
Nov 6, 2007

Practice Location

Address
4 CORTLAND DR
City
Albany
ZIP Code
12211-1319
Phone
(888) 603-2455

Authorized Official

Name
MR. CHRISTIAN P BODNER
Title
CHIEF EXECUTIVE OFFICER
Phone
(518) 273-2705

Specialties & Taxonomy Codes

Specialty
Ambulance

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