MEDICARE: THE MORTLAKE FIRE COMPANY OF BROOKLYN CONNECTICUT INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	590006253	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	710C019B1CT01	OTHER		BLUE CROSS/BLUE SHIELD
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285629964
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE MORTLAKE FIRE COMPANY OF BROOKLYN CONNECTICUT INC

Provider Business Mailing Address
First Line	:	269 MAIN ST
Second Line	:
City	:	CROMWELL
State	:	CT
Zip	:	06416-2302
Country	:	US
Telephone Number	:	860-638-1800
Fax Number	:	860-638-1802

Provider Business Practice Location Address
First Line	:	12 CANTERBURY RD
Second Line	:
City	:	BROOKLYN
State	:	CT
Zip	:	06234-1902
Country	:	US
Telephone Number	:	860-774-2032
Fax Number	:

Authorized Official
Title or Position	:	CHIEF
Name	:	LUCIEN BRODEUR
Credential	:
Telephone Number	:	860-774-2032

Provider Enumeration Date	:	09/19/2005
Last Update Date	:	01/09/2010

Similar Medicare Providers

1811941867 — MARK NOVICK MD PC
Practice Location Address:

450 AVENUE P
BROOKLYN, NY
11223-1902

Practice Phone: 718-375-6000
Practice Fax: 718-375-6576

1215039839 — DR. MIKHAIL MAKHLIN M.D.
Practice Location Address:

112 72ND ST
BROOKLYN, NY
11209-1902

Practice Phone: 718-265-9130
Practice Fax: 718-372-4339

1407934722 — MR. MOHAMMAD JAMIL SHEIKH B PHARMACY
Practice Location Address:

750 FLATBUSH AVE
BROOKLYN, NY
11226-1902

Practice Phone: 718-284-9189
Practice Fax: 718-856-5029

1982779708 — BORIS GELFAND MD
Practice Location Address:

1740 EAST 13 STREET
BROOKLYN, NY
11229-1902

Practice Phone: 718-376-4300
Practice Fax: 718-645-9144

1639217425 — MARINE PARK RADIOLOGY PC
Practice Location Address:

450 AVENUE P
BROOKLYN, NY
11223-1902

Practice Phone: 718-375-6000
Practice Fax: 718-375-6576

1891812194 — DR. MARIANNA M WEINER I.A.O.,DDS
Practice Location Address:

1738 E 13TH ST
BROOKLYN, NY
11229-1902

Practice Phone: 718-891-0606
Practice Fax: 718-891-1055

Directions to “THE MORTLAKE FIRE COMPANY OF BROOKLYN CONNECTICUT INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.