Provider Demographics
NPI:1013123751
Name:LONG ISLAND SCHOOL
Entity Type:Organization
Organization Name:LONG ISLAND SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:GAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-766-4414
Mailing Address - Street 1:33 FERN AVENUE
Mailing Address - Street 2:
Mailing Address - City:LONG ISLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04050
Mailing Address - Country:US
Mailing Address - Phone:207-766-4414
Mailing Address - Fax:
Practice Address - Street 1:33 FERN AVE
Practice Address - Street 2:
Practice Address - City:LONG ISLAND
Practice Address - State:ME
Practice Address - Zip Code:04050
Practice Address - Country:US
Practice Address - Phone:207-766-4414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)