Provider Demographics
NPI:1518024074
Name:BOARD OF EDUCATION IRVNGTN UNION FREE SCH DIST IRV HS
Entity Type:Organization
Organization Name:BOARD OF EDUCATION IRVNGTN UNION FREE SCH DIST IRV HS
Other - Org Name:IRVINGTON UNION FREE SCHOOL DISTRICT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MATUSIAK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-591-8500
Mailing Address - Street 1:40 N BROADWAY
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:NY
Mailing Address - Zip Code:10533-1317
Mailing Address - Country:US
Mailing Address - Phone:914-591-8500
Mailing Address - Fax:914-591-1998
Practice Address - Street 1:40 N BROADWAY
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NY
Practice Address - Zip Code:10533-1317
Practice Address - Country:US
Practice Address - Phone:914-591-8500
Practice Address - Fax:914-591-1998
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2015-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01507964Medicaid