Provider Demographics
NPI:1245598903
Name:DEPT OF EDUCATION
Entity Type:Organization
Organization Name:DEPT OF EDUCATION
Other - Org Name:SCHOOL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MS
Authorized Official - First Name:DONNET
Authorized Official - Middle Name:M
Authorized Official - Last Name:MCKAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-602-2051
Mailing Address - Street 1:1300 GREENE AVE.
Mailing Address - Street 2:
Mailing Address - City:BKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11237
Mailing Address - Country:US
Mailing Address - Phone:718-602-2051
Mailing Address - Fax:
Practice Address - Street 1:1300 GREENE AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11237-4502
Practice Address - Country:US
Practice Address - Phone:718-602-2051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-01
Last Update Date:2012-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY4043641313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility