Provider Demographics
NPI:1043366438
Name:STILLWATER CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:STILLWATER CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:MCTYGUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-373-6100
Mailing Address - Street 1:334 HUDSON AVE
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:NY
Mailing Address - Zip Code:12170-1301
Mailing Address - Country:US
Mailing Address - Phone:518-281-1317
Mailing Address - Fax:
Practice Address - Street 1:334 HUDSON AVE
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:NY
Practice Address - Zip Code:12170-1301
Practice Address - Country:US
Practice Address - Phone:518-281-1317
Practice Address - Fax:
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
NY1396189Medicaid