Provider Demographics
NPI:1003962473
Name:NORTH SALEM CSD
Entity Type:Organization
Organization Name:NORTH SALEM CSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:A
Authorized Official - Last Name:FREUND
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:914-669-5414
Mailing Address - Street 1:230 JUNE ROAD
Mailing Address - Street 2:
Mailing Address - City:NORTH SALEM
Mailing Address - State:NY
Mailing Address - Zip Code:10560
Mailing Address - Country:US
Mailing Address - Phone:914-669-5414
Mailing Address - Fax:914-669-8753
Practice Address - Street 1:230 JUNE RD
Practice Address - Street 2:
Practice Address - City:NORTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10560
Practice Address - Country:US
Practice Address - Phone:914-669-5414
Practice Address - Fax:914-669-8753
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
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
NY01434486Medicaid