Provider Demographics
NPI:1437023413
Name:TOWN OF BERLIN
Entity type:Organization
Organization Name:TOWN OF BERLIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TOWN SUPERVISOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHARLES
Authorized Official - Last Name:JAEGER
Authorized Official - Suffix:
Authorized Official - Credentials:ELECTED OFFICIAL
Authorized Official - Phone:518-573-4261
Mailing Address - Street 1:PO BOX 307
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:NY
Mailing Address - Zip Code:12022-0307
Mailing Address - Country:US
Mailing Address - Phone:518-573-4261
Mailing Address - Fax:
Practice Address - Street 1:17563 NY STATE ROUTE 22
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:NY
Practice Address - Zip Code:12022
Practice Address - Country:US
Practice Address - Phone:518-658-2161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport