Provider Demographics
NPI:1821530866
Name:EASTERN WAYNE EMERGENCY MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:EASTERN WAYNE EMERGENCY MEDICAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:KOLCZYNSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-879-8492
Mailing Address - Street 1:2808 WILSON RD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:NY
Mailing Address - Zip Code:13146-9819
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2808 WILSON RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:NY
Practice Address - Zip Code:13146-9819
Practice Address - Country:US
Practice Address - Phone:315-879-8492
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY03263416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport