The Manhasset-Lakeville Fire Department has operated ambulances for almost 100 years. Initially, the Department purchased and operated ambulances intending only to provide medical care and transportation for the Department's own firefighters and families.

Over the years, however, with the ever-increasing need for pre-hospital emergency care and subsequent increase in calls specifically for the ambulance, the Department realized that the official structure of a company designed specifically for handling the growing task was necessary.

The Manhasset-Lakeville Fire Department's Ambulance Unit was formed in 1988. It started with 22 members and one ambulance that the department already owned. Their first new ambulance went out to bid in December of 1989, and was delivered the following April.

The Ambulance Unit's first Line Officers were President Barbara Hicks, Secretarty/Treasurer Steve Gerardi, Lieutenant Frank McCarton and Sergeant Patrick Hicks. In 1991, the Department purchased another ambulance, which was a used 1988 Horton from the Great Neck Vigilant Fire Company. This ambulance was replaced in 1998 with a newer ALS ambulance.

In 1997, the Department changed the ranks of the Officers of the Ambulance Unit from Lieutenant, Sergeant and Corporal to Captain, 1st Lieutenant and 2nd Lieutenant.

Today, the M-LFD Ambulance Unit not only responds to all working fires and rescue calls within the district, but also responds to emergency medical calls from the Nassau County 9-1-1 system, and through our own emergency hotline.

Currently, the Ambulance Unit operates two identical PL Custom E450 Type III ambulances, designated 8767 and 8769. They are both BLS/ALS equipped, and carry the most current medical equipment available today. The Ambulance Unit also responds with a 1999 Chevrolet Tahoe "Fly-Car." The Fly-Car (8799) is utilized to improve response times as well as to provide additional equipment and manpower resources at major incidents.

The Ambulance Unit responded to almost 800 ambulance calls in 2005.