Organization
MASSAPEQUA UFSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE A. PYNE (PRINCIPAL ACCOUNT CLERK)
(516) 797-6157
Entity
Organization
Contact information
Practice address
4925 MERRICK RD, MASSAPEQUA, NY 11758-6201
(516) 797-6157
Mailing address
4925 MERRICK RD, MASSAPEQUA, NY 11758-6201
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
01/05/2007
Last updated
05/13/2009
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