Provider Demographics
NPI:1225195647
Name:CITY SCHOOL DISTRICT OF GLEN COVE
Entity Type:Organization
Organization Name:CITY SCHOOL DISTRICT OF GLEN COVE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-801-7050
Mailing Address - Street 1:154 DOSORIS LN
Mailing Address - Street 2:
Mailing Address - City:GLEN COVE
Mailing Address - State:NY
Mailing Address - Zip Code:11542-1250
Mailing Address - Country:US
Mailing Address - Phone:516-801-7030
Mailing Address - Fax:516-801-7039
Practice Address - Street 1:154 DOSORIS LN
Practice Address - Street 2:
Practice Address - City:GLEN COVE
Practice Address - State:NY
Practice Address - Zip Code:11542-1250
Practice Address - Country:US
Practice Address - Phone:516-801-7030
Practice Address - Fax:516-801-7039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01734096Medicaid