Healthcare Provider Details

I. General information

NPI: 1285461590
Provider Name (Legal Business Name): SYOSSET FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 COLD SPRING RD
SYOSSET NY
11791-3113
US

IV. Provider business mailing address

50 COLD SPRING RD
SYOSSET NY
11791-3113
US

V. Phone/Fax

Practice location:
  • Phone: 516-677-4506
  • Fax:
Mailing address:
  • Phone: 516-677-4506
  • 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: KAREN BORRELLI
Title or Position: TREASURER
Credential:
Phone: 516-677-4506