Provider Demographics
NPI:1952451254
Name:HENRY VISCARDI SCHOOL
Entity Type:Organization
Organization Name:HENRY VISCARDI SCHOOL
Other - Org Name:ABILITIES
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICE
Authorized Official - Middle Name:MCCARTHY
Authorized Official - Last Name:KUNTZLER
Authorized Official - Suffix:
Authorized Official - Credentials:SPECIAL EDUCATOR
Authorized Official - Phone:516-465-1675
Mailing Address - Street 1:201 I U WILLETS RD
Mailing Address - Street 2:
Mailing Address - City:ALBERTSON
Mailing Address - State:NY
Mailing Address - Zip Code:11507-1516
Mailing Address - Country:US
Mailing Address - Phone:516-465-1675
Mailing Address - Fax:
Practice Address - Street 1:201 I U WILLETS RD
Practice Address - Street 2:
Practice Address - City:ALBERTSON
Practice Address - State:NY
Practice Address - Zip Code:11507-1516
Practice Address - Country:US
Practice Address - Phone:516-465-1675
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
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
NY01479381Medicaid