Brewerton Volunteer Fire Department Ambulance Inc
Director
							Kirby P Black, M.D.
			Expiration Date
							Phone Number
							(315) 751-6216
			UID (Facility ID - Site ID)
							Y312-0000
			Site ID
							0000
			City
							Brewerton
			CLIA Number
							33D2165951
			Street Address
							9625 Brewerton Rd
			State
							NY
			Zip Code
							13029
			County
							Onondaga
			Country
							United States
			Fax Number
							(315) 676-7974
			Primary Contact
							Amy Taylor
			Contact Phone Number
							(315) 751-6216
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							Y312