Healthcare Provider Details

I. General information

NPI: 1730458977
Provider Name (Legal Business Name): SOUTH HUNTINGTON SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2011
Last Update Date: 12/16/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 WESTON ST
HUNTINGTON STATION NY
11746-4031
US

IV. Provider business mailing address

60 WESTON ST
HUNTINGTON STATION NY
11746-4031
US

V. Phone/Fax

Practice location:
  • Phone: 631-812-3000
  • Fax: 631-812-3165
Mailing address:
  • Phone: 631-812-3000
  • Fax: 631-812-3165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number2982091
License Number StateNY

VIII. Authorized Official

Name: DR. THOMAS SHEA
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential:
Phone: 631-812-3000