Provider Demographics
NPI:1013164722
Name:FLORAL PARK-BELLEROSE UNION FREE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:FLORAL PARK-BELLEROSE UNION FREE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CAMILLE
Authorized Official - Middle Name:D
Authorized Official - Last Name:BIRMELIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-327-9300
Mailing Address - Street 1:1 POPPY PLACE
Mailing Address - Street 2:
Mailing Address - City:FLORAL PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11001
Mailing Address - Country:US
Mailing Address - Phone:516-327-9300
Mailing Address - Fax:516-327-9304
Practice Address - Street 1:1 POPPY PL
Practice Address - Street 2:
Practice Address - City:FLORAL PARK
Practice Address - State:NY
Practice Address - Zip Code:11001-2303
Practice Address - Country:US
Practice Address - Phone:516-327-9300
Practice Address - Fax:516-327-9304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2008-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01436828Medicaid