Healthcare Provider Details

I. General information

NPI: 1912009812
Provider Name (Legal Business Name): COUNTY OF NASSAU COUNTY COMPTROLLER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 04/05/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 FRANKLIN AVE
MINEOLA NY
11501-4801
US

IV. Provider business mailing address

PO BOX 416659
BOSTON MA
02241-0001
US

V. Phone/Fax

Practice location:
  • Phone: 516-573-3161
  • Fax: 516-573-3145
Mailing address:
  • Phone: 610-670-7300
  • Fax: 610-401-2101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number10090
License Number StateNY

VIII. Authorized Official

Name: STEVE GERARDI
Title or Position: BILLING COORDINATOR
Credential:
Phone: 516-573-3161