SOUTHOLD UFSD NPI 1558412213

NPI Information

  • NPI: 1558412213
  • Provider Name: SOUTHOLD UFSD
  • Classification: Local Education Agency (LEA) - 251300000X
  • Entity Type: Organization
  • CLIA Number: 33D2173066
  • Address: 420 OAKLAWN AVE
    SOUTHOLD, NY
    ZIP 11971
  • Phone: (631) 765-5400

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NPI Details

SOUTHOLD UFSD is a local education agency lea in Southold, NY. The provider is the term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. SOUTHOLD UFSD NPI is 1558412213. The provider is registered as an organization entity type.

The provider's business location address is:

420 OAKLAWN AVE
SOUTHOLD, NY
ZIP 11971-700
Phone: (631) 765-5400
Fax: (631) 765-5086

The provider's authorized official is Christopher Gallagher .
The authorized official title is Superintendent and has the following contact phone number (631) 765-5400.

The CLIA number assigned to this NPI record is 33D2173066 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251300000XLocal Education Agency (LEA)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
101416393MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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