Healthcare Provider Details

I. General information

NPI: 1053759662
Provider Name (Legal Business Name): HEMPSTEAD PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2013
Last Update Date: 06/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

451 JACKSON ST
HEMPSTEAD NY
11550-3441
US

IV. Provider business mailing address

451 JACKSON ST
HEMPSTEAD NY
11550-3441
US

V. Phone/Fax

Practice location:
  • Phone: 516-292-7111
  • Fax:
Mailing address:
  • Phone: 516-292-7111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number58-022788
License Number StateNY

VIII. Authorized Official

Name: DEBORAH DELONG
Title or Position: ASST SUPT FOR PUPIL PERSONNEL SVCS
Credential:
Phone: 516-292-7111