Provider Demographics
NPI:1851440895
Name:HICKSVILLE PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:HICKSVILLE PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPECIAL EDUCATION PPS DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:DAVIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-733-6650
Mailing Address - Street 1:200 DIVISION AVE
Mailing Address - Street 2:
Mailing Address - City:HICKSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11801-4827
Mailing Address - Country:US
Mailing Address - Phone:516-733-6650
Mailing Address - Fax:516-733-6683
Practice Address - Street 1:200 DIVISION AVE
Practice Address - Street 2:
Practice Address - City:HICKSVILLE
Practice Address - State:NY
Practice Address - Zip Code:11801-4827
Practice Address - Country:US
Practice Address - Phone:516-733-6650
Practice Address - Fax:516-733-6683
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
NY01411756Medicaid