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Organization

EAST QUOGUE UFSD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH LEV (BUSINESS MANAGER)
(631) 653-6854
Entity
Organization

Contact information

Practice address
6 CENTRAL AVE, EAST QUOGUE, NY 11942-4113
(631) 653-5210
(631) 653-8557
Mailing address
6 CENTRAL AVE, EAST QUOGUE, NY 11942-4113

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01390490
NY
Enumeration date
01/12/2007
Last updated
07/23/2008
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