1396016499 NPI number — EAST RAMAPO CENTRAL SCHOOL DISTRICT

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1396016499 NPI number — EAST RAMAPO CENTRAL SCHOOL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EAST RAMAPO CENTRAL SCHOOL DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1396016499
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/20/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
105 S MADISON AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING VALLEY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10977-5474
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-577-6031
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
361 ROUTE 59
Provider Second Line Business Practice Location Address:
SPRING VALLEY HIGH SCHOOL
Provider Business Practice Location Address City Name:
SPRING VALLEY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10977-5474
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-577-6512
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/20/2012

Additional Information

Authorized Official

Authorized Official Last Name:
WIZMAN
Authorized Official First Name:
ELIE
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSISTANT SUPERINTENDENT, OSSS
Authorized Official Telephone Number:
845-577-6031

Provider Taxonomy Codes

  • Taxonomy code: 251300000X , with the licence number:  421105 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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