Provider Demographics
NPI:1871866491
Name:FRIOT, GARY W (EMT-CC)
Entity type:Individual
Prefix:MR
First Name:GARY
Middle Name:W
Last Name:FRIOT
Suffix:
Gender:M
Credentials:EMT-CC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 164
Mailing Address - Street 2:
Mailing Address - City:RENSSELAER FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:13680-0164
Mailing Address - Country:US
Mailing Address - Phone:315-854-4418
Mailing Address - Fax:
Practice Address - Street 1:424 RENSSELAER ST
Practice Address - Street 2:
Practice Address - City:RENSSELAER FALLS
Practice Address - State:NY
Practice Address - Zip Code:13680-3182
Practice Address - Country:US
Practice Address - Phone:315-344-8853
Practice Address - Fax:315-344-7068
Is Sole Proprietor?:No
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY139451146M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes146M00000XEmergency Medical Service ProvidersEmergency Medical Technician, Intermediate