=====================================================
General NPI Number Information
=====================================================
NPI Number | 1255605275
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | NYC DEPT OF EDUCATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/08/2012
-----------------------------------------------------
Last Update Date | 03/08/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8310 21ST AVE
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11214-2406
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 171-833-3822
-----------------------------------------------------
Fax | 171-837-2503
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8310 21ST AVE
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11214-2406
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 171-833-3822
-----------------------------------------------------
Fax | 171-837-2503
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | STAFF NURSE
-----------------------------------------------------
Name | MRS. EILEEN A HUGHES
-----------------------------------------------------
Credential | REGESTERD NURSE
-----------------------------------------------------
Telephone | 17183338221
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number | 475581
-----------------------------------------------------
License Number State | NY
-----------------------------------------------------