Provider Demographics
NPI:1609929090
Name:WYANDANCH SPECIAL EDUCATION DEPT.
Entity Type:Organization
Organization Name:WYANDANCH SPECIAL EDUCATION DEPT.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPED
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:DENISE
Authorized Official - Last Name:HERNANDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-491-1033
Mailing Address - Street 1:54 S 32ND ST
Mailing Address - Street 2:
Mailing Address - City:WYANDANCH
Mailing Address - State:NY
Mailing Address - Zip Code:11798-2632
Mailing Address - Country:US
Mailing Address - Phone:631-491-1033
Mailing Address - Fax:631-491-1884
Practice Address - Street 1:54 S 32ND ST
Practice Address - Street 2:
Practice Address - City:WYANDANCH
Practice Address - State:NY
Practice Address - Zip Code:11798-2632
Practice Address - Country:US
Practice Address - Phone:631-491-1033
Practice Address - Fax:631-491-1884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)