Organization Name: | EAST WILLISTON UFSD |
NPI Number: | 1699816512 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SUSAN L. MILLER (ADMIN. OF SPECIAL EDUCATION) |
Mailing Address: | 11 Bacon Rd Old Westbury |
State: | NY US |
Postal Code: | 115681502 |
Phone Number: | 5163335690 |
Fax Number: | |
NPI Enumeration Date: | 02/12/2007 |
NPI Last Update Date: | 10/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | School |
Taxonomy Definition: |