Provider Demographics
NPI:1780737551
Name:KINGS PARK CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:KINGS PARK CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTANT SUPERINTENDENT FOR FINANC
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:QUIGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:631-269-3229
Mailing Address - Street 1:BUSINESS OFFICE
Mailing Address - Street 2:180 LAWRENCE ROAD
Mailing Address - City:KINGS PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11754
Mailing Address - Country:US
Mailing Address - Phone:631-269-3229
Mailing Address - Fax:631-269-3203
Practice Address - Street 1:180 LAWRENCE RD
Practice Address - Street 2:BUSINESS OFFICE SUITE1
Practice Address - City:KINGS PARK
Practice Address - State:NY
Practice Address - Zip Code:11754-2837
Practice Address - Country:US
Practice Address - Phone:631-269-3229
Practice Address - Fax:631-269-3203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01377589Medicaid