Organization
EMS OF LONG ISLAND COLLEGE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ED CABALERO (DIRECTOR OF EMERGENCY MEDICAL SER)
(718) 780-1964
Entity
Organization
Contact information
Practice address
339 HICKS ST, BROOKLYN, NY 11201-5509
(718) 780-1964
Mailing address
PO BOX 32284, HARTFORD, CT 06150-2284
(610) 401-2041
(610) 401-2100
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02156774
—
NY
Enumeration date
06/11/2006
Last updated
08/22/2020
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