Provider Demographics
NPI:1568502292
Name:PEEKSKILL CITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:PEEKSKILL CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:M
Authorized Official - Last Name:GOTZEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-737-3300
Mailing Address - Street 1:1031 ELM STREET
Mailing Address - Street 2:
Mailing Address - City:PEEKSKILL
Mailing Address - State:NY
Mailing Address - Zip Code:10566-3499
Mailing Address - Country:US
Mailing Address - Phone:914-737-3300
Mailing Address - Fax:914-737-2615
Practice Address - Street 1:1031 ELM ST
Practice Address - Street 2:
Practice Address - City:PEEKSKILL
Practice Address - State:NY
Practice Address - Zip Code:10566-3401
Practice Address - Country:US
Practice Address - Phone:914-737-3300
Practice Address - Fax:914-737-2615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
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
NY01380941Medicaid