Provider Demographics
NPI:1467261057
Name:VILLAGE OF ROUSES POINT
Entity type:Organization
Organization Name:VILLAGE OF ROUSES POINT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VILLAGE CLERK/ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LATREMORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-297-5502
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:800-927-5845
Mailing Address - Fax:315-635-3289
Practice Address - Street 1:139 LAKE ST
Practice Address - Street 2:
Practice Address - City:ROUSES POINT
Practice Address - State:NY
Practice Address - Zip Code:12979-1491
Practice Address - Country:US
Practice Address - Phone:518-297-5502
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-07
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No341600000XTransportation ServicesAmbulance