Provider Demographics
NPI:1679629224
Name:MANHASSET UFSD
Entity Type:Organization
Organization Name:MANHASSET UFSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:MORLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:516-267-7702
Mailing Address - Street 1:200 MEMORIAL PL
Mailing Address - Street 2:
Mailing Address - City:MANHASSET
Mailing Address - State:NY
Mailing Address - Zip Code:11030-2320
Mailing Address - Country:US
Mailing Address - Phone:516-267-7674
Mailing Address - Fax:
Practice Address - Street 1:200 MEMORIAL PL
Practice Address - Street 2:
Practice Address - City:MANHASSET
Practice Address - State:NY
Practice Address - Zip Code:11030-2320
Practice Address - Country:US
Practice Address - Phone:516-267-7674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01379919Medicaid