Provider Demographics
NPI:1679622708
Name:ROCKY POINT UNION FREE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ROCKY POINT UNION FREE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF FINANCE AND OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:W
Authorized Official - Last Name:IVANOFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-744-1600
Mailing Address - Street 1:170 ROUTE 25A
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11778-8750
Mailing Address - Country:US
Mailing Address - Phone:631-744-1600
Mailing Address - Fax:631-209-0627
Practice Address - Street 1:170 ROUTE 25A
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:NY
Practice Address - Zip Code:11778-8750
Practice Address - Country:US
Practice Address - Phone:631-744-1600
Practice Address - Fax:631-209-0627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
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
NY01382021Medicaid