Provider Demographics
NPI:1770635724
Name:LINDENHURST UNION FREE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:LINDENHURST UNION FREE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT TO THE SUPERINTENDENT FOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCRIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-226-6506
Mailing Address - Street 1:350 DANIEL ST
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11757-3547
Mailing Address - Country:US
Mailing Address - Phone:631-226-6492
Mailing Address - Fax:631-226-7136
Practice Address - Street 1:350 DANIEL ST
Practice Address - Street 2:
Practice Address - City:LINDENHURST
Practice Address - State:NY
Practice Address - Zip Code:11757-3547
Practice Address - Country:US
Practice Address - Phone:631-226-6492
Practice Address - Fax:631-226-7136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01379868Medicaid