Provider Demographics
NPI:1427179803
Name:VALLEY STREAM CENTRAL HIGH SCHOOL DISTRICT
Entity type:Organization
Organization Name:VALLEY STREAM CENTRAL HIGH SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:BERNSTEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-872-5601
Mailing Address - Street 1:1 KENT RD
Mailing Address - Street 2:
Mailing Address - City:VALLEY STREAM
Mailing Address - State:NY
Mailing Address - Zip Code:11580-3314
Mailing Address - Country:US
Mailing Address - Phone:516-872-5601
Mailing Address - Fax:516-872-5698
Practice Address - Street 1:1 KENT RD
Practice Address - Street 2:
Practice Address - City:VALLEY STREAM
Practice Address - State:NY
Practice Address - Zip Code:11580-3314
Practice Address - Country:US
Practice Address - Phone:516-872-5601
Practice Address - Fax:516-872-5698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01579735Medicaid