Provider Demographics
NPI:1639357908
Name:TOWN OF MACEDON
Entity Type:Organization
Organization Name:TOWN OF MACEDON
Other - Org Name:TOWN OF MACEDON AMBULANCE SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAGANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-986-5932
Mailing Address - Street 1:480 BEDFORD ROAD
Mailing Address - Street 2:BUILDING 600, 2ND FLOOR
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-1715
Mailing Address - Country:US
Mailing Address - Phone:855-978-6293
Mailing Address - Fax:888-972-9641
Practice Address - Street 1:32 MAIN ST
Practice Address - Street 2:
Practice Address - City:MACEDON
Practice Address - State:NY
Practice Address - Zip Code:14502-9101
Practice Address - Country:US
Practice Address - Phone:855-978-6293
Practice Address - Fax:888-972-9641
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62163416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport