Provider Demographics
NPI:1417089855
Name:BRIDGEHAMPTON UNION FREE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:BRIDGEHAMPTON UNION FREE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRAROR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ROMANOSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:631-537-0271
Mailing Address - Street 1:2685 MONTAUK HIGHWAY
Mailing Address - Street 2:BOX 3021
Mailing Address - City:BRIDGEHAMPTON
Mailing Address - State:NY
Mailing Address - Zip Code:11932-3021
Mailing Address - Country:US
Mailing Address - Phone:631-537-0271
Mailing Address - Fax:631-537-9038
Practice Address - Street 1:2685 MONTAUK HIGHWAY
Practice Address - Street 2:BOX 3021
Practice Address - City:BRIDGEHAMPTON
Practice Address - State:NY
Practice Address - Zip Code:11932-3021
Practice Address - Country:US
Practice Address - Phone:631-537-0271
Practice Address - Fax:631-537-9038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01379148Medicaid