Provider Demographics
NPI:1447635776
Name:NYC BOARD OF EDUCATION
Entity type:Organization
Organization Name:NYC BOARD OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:KRISTEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BORDONE- BACARELLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-902-5340
Mailing Address - Street 1:230 89TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-5612
Mailing Address - Country:US
Mailing Address - Phone:718-902-5340
Mailing Address - Fax:
Practice Address - Street 1:230 89TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-5612
Practice Address - Country:US
Practice Address - Phone:718-902-5340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-28
Last Update Date:2015-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY642076163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty