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Certified EMS Agency Information Update Form NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Emergency Medical Services Name of Agency
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Document Date: 2014-02-26 10:31:35


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File Size: 301,60 KB

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City

New York / Employer / /

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MedicalCondition

ALS / /

Organization

OPS NYS DOH Bureau of EMS / DOH Bureau of EMS / Certified EMS Agency Information Update Form NEW YORK STATE DEPARTMENT OF HEALTH Bureau of Emergency Medical Services Name of Agency DOH Agency ID Number / Medicare / Federal Communications Commission / /

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Position

chief / Paramedic / / Director REMAC Authorized Level / Medical Director Service / Business Phone Fax Federal Employer / /

ProvinceOrState

New York / /

Technology

Radio Frequency / /

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