Provider Demographics
NPI:1447304266
Name:WILLIAM FLOYD SCHOOL DISTRICT
Entity type:Organization
Organization Name:WILLIAM FLOYD SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SP. ED.
Authorized Official - Prefix:DR
Authorized Official - First Name:MALASIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:631-874-1335
Mailing Address - Street 1:240 MASTIC BEACH RD
Mailing Address - Street 2:
Mailing Address - City:MASTIC BEACH
Mailing Address - State:NY
Mailing Address - Zip Code:11951-1028
Mailing Address - Country:US
Mailing Address - Phone:631-874-1335
Mailing Address - Fax:631-874-1550
Practice Address - Street 1:240 MASTIC BEACH RD
Practice Address - Street 2:
Practice Address - City:MASTIC BEACH
Practice Address - State:NY
Practice Address - Zip Code:11951-1028
Practice Address - Country:US
Practice Address - Phone:631-874-1335
Practice Address - Fax:631-874-1550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2015-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01424620Medicaid