Provider Demographics
NPI:1972854495
Name:FARMINGDALE PUBLIC SCHOOL DISTRICT
Entity Type:Organization
Organization Name:FARMINGDALE PUBLIC SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:MCELHINEY
Authorized Official - Suffix:
Authorized Official - Credentials:MA; CCC/SLP;TSHH
Authorized Official - Phone:516-752-6590
Mailing Address - Street 1:50 VAN COTT AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGDALE
Mailing Address - State:NY
Mailing Address - Zip Code:11735-3743
Mailing Address - Country:US
Mailing Address - Phone:516-752-6590
Mailing Address - Fax:
Practice Address - Street 1:50 VAN COTT AVE
Practice Address - Street 2:
Practice Address - City:FARMINGDALE
Practice Address - State:NY
Practice Address - Zip Code:11735-3743
Practice Address - Country:US
Practice Address - Phone:516-752-6590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2012-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01435749Medicaid