Provider Demographics
NPI:1720564628
Name:LITTLE FERRY FIRST AID CORP, INC.
Entity Type:Organization
Organization Name:LITTLE FERRY FIRST AID CORP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT BOARD OF GOVERNORS
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:
Authorized Official - Last Name:LA VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-478-8947
Mailing Address - Street 1:20 MAIN ST UNIT 147
Mailing Address - Street 2:
Mailing Address - City:LITTLE FERRY
Mailing Address - State:NJ
Mailing Address - Zip Code:07643-7007
Mailing Address - Country:US
Mailing Address - Phone:201-478-8947
Mailing Address - Fax:
Practice Address - Street 1:95 MAIN ST
Practice Address - Street 2:
Practice Address - City:LITTLE FERRY
Practice Address - State:NJ
Practice Address - Zip Code:07643
Practice Address - Country:US
Practice Address - Phone:201-478-8947
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-13
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ0211035341600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance