Organization
PORT JEFFERSON VOLUNTEER AMBULANCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON LAZERUS EMT-CC (CHIEF OF TRAINING)
(631) 473-2519
Entity
Organization
Contact information
Practice address
25 CRYSTAL BROOK HOLLOW RD, MOUNT SINAI, NY 11766-1612
(631) 473-2519
(631) 476-6716
Mailing address
PO BOX 264, PORT JEFFERSON, NY 11777-0264
(631) 473-2519
(631) 476-6716
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
12194
NY
341600000X
Ambulance
Primary
—
—
Other
Enumeration date
05/25/2010
Last updated
02/05/2026
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