Provider Demographics
NPI:1518130558
Name:PELHAM UNION FREE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PELHAM UNION FREE SCHOOL DISTRICT
Other - Org Name:PELHAM SCHOOLS
Other - Org Type:Other Name
Authorized Official - Title/Position:ASST SUPERINTENDENT FOR BUSINESS
Authorized Official - Prefix:MR
Authorized Official - First Name:ANGELO
Authorized Official - Middle Name:
Authorized Official - Last Name:RUBBO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-738-9140
Mailing Address - Street 1:575 COLONIAL AVE
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NY
Mailing Address - Zip Code:10803-2143
Mailing Address - Country:US
Mailing Address - Phone:914-738-9140
Mailing Address - Fax:914-738-2384
Practice Address - Street 1:575 COLONIAL AVE
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NY
Practice Address - Zip Code:10803-2143
Practice Address - Country:US
Practice Address - Phone:914-738-9140
Practice Address - Fax:914-738-2384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2008-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01441381Medicaid