Organization
COMMACK UFSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE ANN HASLEY R .N. (REGISTERED NURSE/ SCHOOL NURSE)
(631) 858-3595
Entity
Organization
Contact information
Practice address
151 KINGS PARK RD, COMMACK, NY 11725-1643
(631) 858-3595
(631) 858-3618
Mailing address
151 KINGS PARK RD, COMMACK, NY 11725-1643
(631) 858-3595
(631) 858-3618
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
409238
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251300000X
—
NY
Enumeration date
03/20/2013
Last updated
03/20/2013
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