Provider Demographics
NPI:1093033177
Name:NEW HYDE PARK - GARDEN CITY PARK UFSD
Entity Type:Organization
Organization Name:NEW HYDE PARK - GARDEN CITY PARK UFSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-434-2310
Mailing Address - Street 1:1950 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2607
Mailing Address - Country:US
Mailing Address - Phone:516-434-2310
Mailing Address - Fax:516-358-7656
Practice Address - Street 1:1950 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2607
Practice Address - Country:US
Practice Address - Phone:516-434-2310
Practice Address - Fax:516-358-7656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-13
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01440188Medicaid