Blue Mountain Lake Volunteer Fire Department Ambulance Squad
Name
Blue Mountain Lake Volunteer Fire Department Ambulance Squad
Director
Dianna N Bryan, M.D.
Expiration Date
Phone Number
(518) 352-7710
UID (Facility ID - Site ID)
G855-0000
Site ID
0000
City
Blue Mountain Lake
CLIA Number
33D2303281
Street Address
3454 State Rte 28
State
NY
Zip Code
12812
County
Hamilton
Country
United States
Fax Number
(518) 352-7711
Primary Contact
Timothy Leach
Contact Phone Number
(518) 636-8336
Certificate Type
WAIVER
Tests
Glucose
Facility ID
G855