Provider Demographics
NPI:1285784967
Name:CARLE PLACE UFSD
Entity type:Organization
Organization Name:CARLE PLACE UFSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXEC ASST TO SUP'T FOR SPED-PPS
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:COHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-622-6502
Mailing Address - Street 1:168 CHERRY LN
Mailing Address - Street 2:
Mailing Address - City:CARLE PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11514-1741
Mailing Address - Country:US
Mailing Address - Phone:516-622-6502
Mailing Address - Fax:516-622-6540
Practice Address - Street 1:168 CHERRY LN
Practice Address - Street 2:
Practice Address - City:CARLE PLACE
Practice Address - State:NY
Practice Address - Zip Code:11514-1741
Practice Address - Country:US
Practice Address - Phone:516-622-6502
Practice Address - Fax:516-622-6540
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01434468Medicaid