Provider Demographics
NPI:1558427567
Name:DUANESBURG CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:DUANESBURG CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-895-2279
Mailing Address - Street 1:133 SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:DELANSON
Mailing Address - State:NY
Mailing Address - Zip Code:12053-2314
Mailing Address - Country:US
Mailing Address - Phone:518-895-2279
Mailing Address - Fax:518-895-2626
Practice Address - Street 1:133 SCHOOL RD
Practice Address - Street 2:
Practice Address - City:DELANSON
Practice Address - State:NY
Practice Address - Zip Code:12053-2314
Practice Address - Country:US
Practice Address - Phone:518-895-2279
Practice Address - Fax:518-895-2626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
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
NY01394421Medicaid