Provider Demographics
NPI:1346396827
Name:ELLENVILLE CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:ELLENVILLE CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NATOLI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-647-0115
Mailing Address - Street 1:28 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:ELLENVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12428-1523
Mailing Address - Country:US
Mailing Address - Phone:845-647-0115
Mailing Address - Fax:845-647-8038
Practice Address - Street 1:28 MAPLE AVE
Practice Address - Street 2:
Practice Address - City:ELLENVILLE
Practice Address - State:NY
Practice Address - Zip Code:12428-1523
Practice Address - Country:US
Practice Address - Phone:845-647-0115
Practice Address - Fax:845-647-8038
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
NY01382012Medicaid