=====================================================
General NPI Number Information
=====================================================
NPI Number | 1922880491
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OYSTER BAY FIRE COMPANY NO. 1
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/18/2023
-----------------------------------------------------
Last Update Date | 10/18/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 188 SOUTH ST
-----------------------------------------------------
City | OYSTER BAY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11771-2222
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-922-1226
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 188 SOUTH ST
-----------------------------------------------------
City | OYSTER BAY
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11771-2222
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | EMS CAPTAIN
-----------------------------------------------------
Name | TRACY ZANGARI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 516-922-1226
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3416L0300X
-----------------------------------------------------
Taxonomy Name | Land Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 341600000X
-----------------------------------------------------
Taxonomy Name | Ambulance
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------