Organization
EAST WILLISTON UFSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN L. MILLER (ADMIN. OF SPECIAL EDUCATION)
(516) 333-5690
Entity
Organization
Contact information
Practice address
11 BACON RD, OLD WESTBURY, NY 11568-1502
(516) 333-5690
Mailing address
11 BACON RD, OLD WESTBURY, NY 11568-1502
(516) 333-5690
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01381800
—
NY
Enumeration date
02/12/2007
Last updated
10/23/2007
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