Provider Demographics
NPI:1083771570
Name:KINDERHOOK CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:KINDERHOOK CENTRAL SCHOOL DISTRICT
Other - Org Name:ICHABOD CRANE CENTRAL SCHOOL DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:ZINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-758-7575
Mailing Address - Street 1:2910 ROUTE 9
Mailing Address - Street 2:PO BOX 820
Mailing Address - City:VALATIE
Mailing Address - State:NY
Mailing Address - Zip Code:12184-0820
Mailing Address - Country:US
Mailing Address - Phone:518-758-7575
Mailing Address - Fax:518-758-7579
Practice Address - Street 1:2910 ROUTE 9
Practice Address - Street 2:
Practice Address - City:VALATIE
Practice Address - State:NY
Practice Address - Zip Code:12184-0820
Practice Address - Country:US
Practice Address - Phone:518-758-7575
Practice Address - Fax:518-758-7579
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01414722Medicaid