Provider Demographics
NPI:1740339985
Name:ISLAND PARK UFSD
Entity type:Organization
Organization Name:ISLAND PARK UFSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPT. OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-431-8100
Mailing Address - Street 1:150 TRAFALGAR BLVD
Mailing Address - Street 2:
Mailing Address - City:ISLAND PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11558-1743
Mailing Address - Country:US
Mailing Address - Phone:516-431-8100
Mailing Address - Fax:516-431-7550
Practice Address - Street 1:150 TRAFALGAR BLVD
Practice Address - Street 2:
Practice Address - City:ISLAND PARK
Practice Address - State:NY
Practice Address - Zip Code:11558-1743
Practice Address - Country:US
Practice Address - Phone:516-431-8100
Practice Address - Fax:516-431-7550
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
NY01379822Medicaid