Provider Demographics
NPI:1407982465
Name:HALF HOLLOW HILLS CSD
Entity Type:Organization
Organization Name:HALF HOLLOW HILLS CSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SUPT. FINANCE & FACILITIES
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARRONE CALIENDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-592-3030
Mailing Address - Street 1:525 HALF HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-5828
Mailing Address - Country:US
Mailing Address - Phone:631-592-3030
Mailing Address - Fax:631-592-3930
Practice Address - Street 1:525 HALF HOLLOW RD
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-5828
Practice Address - Country:US
Practice Address - Phone:631-592-3030
Practice Address - Fax:631-592-3930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-26
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01377215Medicaid