Provider Demographics
NPI:1154488054
Name:ROCKVILLE CENTRE UNION FREE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ROCKVILLE CENTRE UNION FREE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR FOR PUPIL PERSONNEL S
Authorized Official - Prefix:MRS
Authorized Official - First Name:NOREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:LEAHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-255-8928
Mailing Address - Street 1:128 SHEPHERD STREET
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE CENTRE
Mailing Address - State:NY
Mailing Address - Zip Code:11570-2298
Mailing Address - Country:US
Mailing Address - Phone:516-255-8928
Mailing Address - Fax:516-255-8846
Practice Address - Street 1:128 SHEPHERD STREET
Practice Address - Street 2:
Practice Address - City:ROCKVILLE CENTRE
Practice Address - State:NY
Practice Address - Zip Code:11570-2298
Practice Address - Country:US
Practice Address - Phone:516-255-8928
Practice Address - Fax:516-255-8846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-02
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01380010Medicaid