Provider Demographics
NPI:1467674861
Name:TOWN NISKAYUNA CONSOLIDATED FIRE DIST 1
Entity Type:Organization
Organization Name:TOWN NISKAYUNA CONSOLIDATED FIRE DIST 1
Other - Org Name:NISKAYUNA FIRE DISTRICT NO.1
Other - Org Type:Other Name
Authorized Official - Title/Position:CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:DALE
Authorized Official - Middle Name:
Authorized Official - Last Name:LINGENFELTER
Authorized Official - Suffix:
Authorized Official - Credentials:EMT-PARAMEDIC
Authorized Official - Phone:518-374-8386
Mailing Address - Street 1:1079 BALLTOWN ROAD
Mailing Address - Street 2:
Mailing Address - City:NISKAYUNA
Mailing Address - State:NY
Mailing Address - Zip Code:12309
Mailing Address - Country:US
Mailing Address - Phone:518-374-8386
Mailing Address - Fax:518-374-3037
Practice Address - Street 1:1079 BALLTOWN ROAD
Practice Address - Street 2:
Practice Address - City:NISKAYUNA
Practice Address - State:NY
Practice Address - Zip Code:12309
Practice Address - Country:US
Practice Address - Phone:518-374-8386
Practice Address - Fax:518-374-3037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY46193416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4619OtherNYS AGENCY CODE