Provider Demographics
NPI:1427390012
Name:COMMACK UNION FREE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:COMMACK UNION FREE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:GINA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:631-858-3573
Mailing Address - Street 1:25 MCCULLOCH DR
Mailing Address - Street 2:
Mailing Address - City:DIX HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11746-8303
Mailing Address - Country:US
Mailing Address - Phone:631-858-3573
Mailing Address - Fax:631-858-3403
Practice Address - Street 1:25 MCCULLOCH DR
Practice Address - Street 2:
Practice Address - City:DIX HILLS
Practice Address - State:NY
Practice Address - Zip Code:11746-8303
Practice Address - Country:US
Practice Address - Phone:631-858-3573
Practice Address - Fax:631-858-3403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-21
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY318003251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)