Provider Demographics
NPI:1700325800
Name:TOWN OF PATTERSON
Entity Type:Organization
Organization Name:TOWN OF PATTERSON
Other - Org Name:TOWN OF PATTERSON EMS
Other - Org Type:Other Name
Authorized Official - Title/Position:TOWN SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:845-878-6500
Mailing Address - Street 1:1142 ROUTE 311
Mailing Address - Street 2:PO BOX 470
Mailing Address - City:PATTERSON
Mailing Address - State:NY
Mailing Address - Zip Code:12563-2821
Mailing Address - Country:US
Mailing Address - Phone:845-878-6500
Mailing Address - Fax:845-878-6343
Practice Address - Street 1:72 FAIRFIELD DR
Practice Address - Street 2:
Practice Address - City:PATTERSON
Practice Address - State:NY
Practice Address - Zip Code:12563-2153
Practice Address - Country:US
Practice Address - Phone:845-206-3620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY62613416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport