Broome Volunteer Emergency Squad Inc - Lisle Fire Station
Name
Broome Volunteer Emergency Squad Inc - Lisle Fire Station
Director
James E Stoughton, M.D.
Expiration Date
Phone Number
(607) 692-3411
UID (Facility ID - Site ID)
G956-0001
Site ID
0001
City
Lisle
CLIA Number
33D2312936
Street Address
9-090 Main St
State
NY
Zip Code
13797
County
Broome
Country
United States
Fax Number
(607) 772-2154
Primary Contact
Anthony Kilgallon
Contact Phone Number
60777265652
Certificate Type
WAIVER
Tests
Glucose
Facility ID
G956