Healthcare Provider Details

I. General information

NPI: 1598622193
Provider Name (Legal Business Name): MICHAEL E ALLISON EMT-P
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 BURR RD
COMMACK NY
11725-1810
US

IV. Provider business mailing address

20 SANDY HOLLOW RD
NORTHPORT NY
11768-3443
US

V. Phone/Fax

Practice location:
  • Phone: 631-487-2484
  • Fax:
Mailing address:
  • Phone: 631-487-2484
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code146L00000X
TaxonomyParamedic
License Number237462
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: