Basic Information
| Provider Information | |||||||||
| NPI: | 1053759662 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEMPSTEAD PUBLIC SCHOOLS | ||||||||
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| Mailing Information | |||||||||
| Address1: | 451 JACKSON ST | ||||||||
| Address2: | |||||||||
| City: | HEMPSTEAD | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115503441 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5162927111 | ||||||||
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| Practice Location | |||||||||
| Address1: | 451 JACKSON ST | ||||||||
| Address2: | |||||||||
| City: | HEMPSTEAD | ||||||||
| State: | NY | ||||||||
| PostalCode: | 115503441 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5162927111 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/06/2013 | ||||||||
| LastUpdateDate: | 06/06/2013 | ||||||||
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| AuthorizedOfficialLastName: | DELONG | ||||||||
| AuthorizedOfficialFirstName: | DEBORAH | ||||||||
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| AuthorizedOfficialTitleorPosition: | ASST SUPT FOR PUPIL PERSONNEL SVCS | ||||||||
| AuthorizedOfficialTelephone: | 5162927111 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 235Z00000X | 58-022788 | NY | Y | 193200000X MULTI-SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Speech-Language Pathologist |
No ID Information.