Healthcare Provider Details

I. General information

NPI: 1801146329
Provider Name (Legal Business Name): FARMINGDALE UNION FREE SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2012
Last Update Date: 09/12/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 N ALBANY AVE
NORTH MASSAPEQUA NY
11758-2109
US

IV. Provider business mailing address

101 N ALBANY AVE
NORTH MASSAPEQUA NY
11758-2109
US

V. Phone/Fax

Practice location:
  • Phone: 516-752-6570
  • Fax:
Mailing address:
  • Phone: 516-752-6570
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: ANNEMARIE K WOOD
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential:
Phone: 516-752-6570