Provider Demographics
NPI:1598031270
Name:BOARD OF EDUCATION
Entity Type:Organization
Organization Name:BOARD OF EDUCATION
Other - Org Name:OFFICE OF SCHOOL HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHINY
Authorized Official - Middle Name:MARY
Authorized Official - Last Name:ABRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:718-946-3491
Mailing Address - Street 1:344 FANNING ST
Mailing Address - Street 2:
Mailing Address - City:STATEN ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:10314-5330
Mailing Address - Country:US
Mailing Address - Phone:718-477-2434
Mailing Address - Fax:718-477-2434
Practice Address - Street 1:344 FANNING ST
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10314-5889
Practice Address - Country:US
Practice Address - Phone:718-477-2434
Practice Address - Fax:718-477-2434
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NONE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-03-28
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY546312-1302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization