Speculator Vol Ambulance Corp
Director
							William T. Fisher, M.D.
			Expiration Date
							Phone Number
							(518) 548-5911
			UID (Facility ID - Site ID)
							M513-0000
			Site ID
							0000
			City
							Speculator
			CLIA Number
							33D0963627
			Street Address
							2920 State Rte 30
			State
							NY
			Zip Code
							12164
			County
							Hamilton
			Country
							United States
			Fax Number
							(518) 548-7605
			Primary Contact
							Phil Mulleedy
			Contact Phone Number
							(518) 548-5911
			Certificate Type
							WAIVER
			Tests
				Glucose
					Facility ID
							M513
			