Provider Demographics
NPI:1255487740
Name:CONNETQUOT CSD OF ISLIP
Entity Type:Organization
Organization Name:CONNETQUOT CSD OF ISLIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:LYNDA
Authorized Official - Middle Name:G
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-244-2215
Mailing Address - Street 1:780 OCEAN AVE.
Mailing Address - Street 2:
Mailing Address - City:BOHEMIA
Mailing Address - State:NY
Mailing Address - Zip Code:11716
Mailing Address - Country:US
Mailing Address - Phone:631-244-2215
Mailing Address - Fax:631-244-2220
Practice Address - Street 1:780 OCEAN AVE
Practice Address - Street 2:SPECIAL SERVICES
Practice Address - City:BOHEMIA
Practice Address - State:NY
Practice Address - Zip Code:11716-3631
Practice Address - Country:US
Practice Address - Phone:631-244-2219
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2015-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)