Provider Demographics
NPI:1932258217
Name:TOWN OF HEMPSTEAD UFSD 9
Entity Type:Organization
Organization Name:TOWN OF HEMPSTEAD UFSD 9
Other - Org Name:FREEPORT UFSD FREEPORT PUBLIC SCHOOLS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-867-3468
Mailing Address - Street 1:235 NORTH OCEAN AVENUE
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520
Mailing Address - Country:US
Mailing Address - Phone:516-867-5212
Mailing Address - Fax:516-623-1286
Practice Address - Street 1:235 NORTH OCEAN AVENUE
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520
Practice Address - Country:US
Practice Address - Phone:516-867-5212
Practice Address - Fax:516-623-1286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01412151Medicaid