Provider Demographics
NPI:1164576880
Name:OCEANSIDE UFSD
Entity Type:Organization
Organization Name:OCEANSIDE UFSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:HERB
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:516-678-1215
Mailing Address - Street 1:145 MERLE AVENUE
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11572-2206
Mailing Address - Country:US
Mailing Address - Phone:516-678-1215
Mailing Address - Fax:516-678-7503
Practice Address - Street 1:145 MERLE AVENUE
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:NY
Practice Address - Zip Code:11572-2206
Practice Address - Country:US
Practice Address - Phone:516-678-1215
Practice Address - Fax:516-678-7503
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01411581Medicaid