Provider Demographics
NPI:1326195637
Name:MAMARONECK PUBLIC SCHOOLS
Entity Type:Organization
Organization Name:MAMARONECK PUBLIC SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:DR
Authorized Official - First Name:NORA
Authorized Official - Middle Name:
Authorized Official - Last Name:MAZZONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-220-3060
Mailing Address - Street 1:1000 W. BOSTON POST ROAD
Mailing Address - Street 2:STUDENT SUPPORT SEVICES
Mailing Address - City:MAMARONECK
Mailing Address - State:NY
Mailing Address - Zip Code:10543
Mailing Address - Country:US
Mailing Address - Phone:914-220-3060
Mailing Address - Fax:914-220-3095
Practice Address - Street 1:1000 W. BOSTON POST ROAD
Practice Address - Street 2:STUDENT SUPPORT SEVICES
Practice Address - City:MAMARONECK
Practice Address - State:NY
Practice Address - Zip Code:10543
Practice Address - Country:US
Practice Address - Phone:914-220-3060
Practice Address - Fax:914-220-3095
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2016-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01395326Medicaid