Healthcare Provider Details

I. General information

NPI: 1295507119
Provider Name (Legal Business Name): WESTPORT FIRE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/24/2023
Last Update Date: 10/24/2023
Certification Date: 10/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 COMMERCIAL PARK LANE
WESTPORT NY
12993
US

IV. Provider business mailing address

PO BOX 787
LATHAM NY
12110-0787
US

V. Phone/Fax

Practice location:
  • Phone: 518-962-4701
  • Fax:
Mailing address:
  • Phone: 888-603-2455
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: KATHLEEN SAYRE
Title or Position: COMMISSIONER
Credential:
Phone: 888-603-2455