Provider Demographics
NPI:1225655178
Name:HEMPSTEAD SCHOOL DISTRICT
Entity Type:Organization
Organization Name:HEMPSTEAD SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT FOR SPECIAL EDUCATIO
Authorized Official - Prefix:MS
Authorized Official - First Name:DJUANA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-434-4080
Mailing Address - Street 1:1833 TWAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BALDWIN
Mailing Address - State:NY
Mailing Address - Zip Code:11510-2340
Mailing Address - Country:US
Mailing Address - Phone:516-633-0473
Mailing Address - Fax:
Practice Address - Street 1:265 PENINSULA BLVD
Practice Address - Street 2:
Practice Address - City:HEMPSTEAD
Practice Address - State:NY
Practice Address - Zip Code:11550-4912
Practice Address - Country:US
Practice Address - Phone:516-470-4700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-26
Last Update Date:2020-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY029579OtherNYS SPEECH LANGUAGE PATHOLOGY LICENSE NUMBER