Provider Demographics
NPI:1326147968
Name:FINGER LAKES AMBULANCE EMS, INC
Entity Type:Organization
Organization Name:FINGER LAKES AMBULANCE EMS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:L
Authorized Official - Last Name:KALFASS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-481-2814
Mailing Address - Street 1:PO BOX 535
Mailing Address - Street 2:
Mailing Address - City:BALDWINSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:13027-0535
Mailing Address - Country:US
Mailing Address - Phone:315-635-1789
Mailing Address - Fax:315-635-3289
Practice Address - Street 1:14 CRANE ST
Practice Address - Street 2:
Practice Address - City:CLIFTON SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14432-1004
Practice Address - Country:US
Practice Address - Phone:315-462-5701
Practice Address - Fax:315-462-6061
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00977326Medicaid
NYP0100659FAOtherBLUE CHOICE
NYFAOtherEXCELLUS BC/BS
NY00977326Medicaid
NY19576BMedicare ID - Type Unspecified