Provider Demographics
NPI:1912009812
Name:COUNTY OF NASSAU COUNTY COMPTROLLER
Entity Type:Organization
Organization Name:COUNTY OF NASSAU COUNTY COMPTROLLER
Other - Org Name:PDCN EMERGENCY AMBULANCE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:GERARDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-573-3161
Mailing Address - Street 1:PO BOX 416659
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02241-0001
Mailing Address - Country:US
Mailing Address - Phone:610-670-7300
Mailing Address - Fax:610-401-2101
Practice Address - Street 1:1490 FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:MINEOLA
Practice Address - State:NY
Practice Address - Zip Code:11501-4801
Practice Address - Country:US
Practice Address - Phone:516-573-3161
Practice Address - Fax:516-573-3145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY100903416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01220153Medicaid
NY01220153Medicaid