Healthcare Provider Details

I. General information

NPI: 1780442558
Provider Name (Legal Business Name): SOUTH FARMINGDALE FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2024
Last Update Date: 03/07/2024
Certification Date: 03/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

819 MAIN ST
FARMINGDALE NY
11735-4140
US

IV. Provider business mailing address

819 MAIN ST
FARMINGDALE NY
11735-4140
US

V. Phone/Fax

Practice location:
  • Phone: 516-249-8898
  • Fax:
Mailing address:
  • Phone: 516-249-8898
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: KERIAKI PSORAKIS
Title or Position: SECRETARY
Credential:
Phone: 516-249-8898