Provider Demographics
NPI:1457079782
Name:WESTBURY WATER FIRE DISTRICT
Entity Type:Organization
Organization Name:WESTBURY WATER FIRE DISTRICT
Other - Org Name:WESTBURY FIRE/EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EMS DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-333-0427
Mailing Address - Street 1:160 DREXEL AVE
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-3038
Mailing Address - Country:US
Mailing Address - Phone:516-333-0427
Mailing Address - Fax:580-628-2267
Practice Address - Street 1:160 DREXEL AVE
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-3038
Practice Address - Country:US
Practice Address - Phone:516-333-0427
Practice Address - Fax:580-628-2267
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes341600000XTransportation ServicesAmbulance
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY115903038OtherOTHER NON-MEDICARE