Coxsackie Rescue Squad

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

License

1915 Issued in NY

Legal business name

COXSACKIE RESCUE SQUAD

Practice address

119 Mansion St
Coxsackie, NY 12051-1018

Phone

(518) 731-9444

Fax

(518) 731-2620

NPI assigned

Oct 11, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Heather M Lizotte

Title

Authorized Agent

Phone

(800) 452-8191

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396733762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 290184",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061290184",
            "telephone_number": "800-452-8191",
            "fax_number": "860-721-6362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 MANSION ST",
            "city": "COXSACKIE",
            "state": "NY",
            "postal_code": "120511018",
            "telephone_number": "518-731-9444",
            "fax_number": "518-731-2620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COXSACKIE RESCUE SQUAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIZOTTE",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "800-452-8191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "NY",
            "license": "1915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01423977",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Breen, R.N.
• Sara Collesides, NP
• Columbia Memorial Regional Medical PLLC
• Coxsackie Family Practice
• Coxsackie Optometric PC (Coxsackie Eye Associates)
• Coxsackie Transport, Inc.
• Coxsackie-Athens CSD
• Lynette Antonia Dalland, SLP
• Vernea T Diehl
• Michelle Denise Fisher, LMHC

• Land Ambulance in Coxsackie, NY
• Providers in Coxsackie, NY by specialty
• Land Ambulance in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.