Provider Demographics
NPI:1043366552
Name:VALLEY STREAM UFSD #24
Entity Type:Organization
Organization Name:VALLEY STREAM UFSD #24
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CSE CHAIRPERSON
Authorized Official - Prefix:MR
Authorized Official - First Name:ALF
Authorized Official - Middle Name:
Authorized Official - Last Name:RASMUSSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-791-6237
Mailing Address - Street 1:50 HUNGRY HARBOR RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11581-2511
Mailing Address - Country:US
Mailing Address - Phone:516-791-6237
Mailing Address - Fax:516-791-0932
Practice Address - Street 1:50 HUNGRY HARBOR RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11581-2511
Practice Address - Country:US
Practice Address - Phone:516-791-6237
Practice Address - Fax:516-791-0932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01397319Medicaid