Provider Demographics
NPI:1659369015
Name:VILLAGE OF WEST WINFIELD
Entity Type:Organization
Organization Name:VILLAGE OF WEST WINFIELD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:UCEKAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-822-3051
Mailing Address - Street 1:PO BOX 4066
Mailing Address - Street 2:
Mailing Address - City:UTICA
Mailing Address - State:NY
Mailing Address - Zip Code:13504-4066
Mailing Address - Country:US
Mailing Address - Phone:315-724-6619
Mailing Address - Fax:315-797-2589
Practice Address - Street 1:MAIN ST WEST
Practice Address - Street 2:
Practice Address - City:WEST WINFIELD
Practice Address - State:NY
Practice Address - Zip Code:13491-0308
Practice Address - Country:US
Practice Address - Phone:315-822-6223
Practice Address - Fax:315-822-0020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-11
Last Update Date:2020-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2118341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1659369015OtherRAILROAD MEDICARE
NY01496895Medicaid
NY01496895Medicaid