Provider Demographics
NPI:1578615548
Name:GARRISON UNION FREE SCHOOL DISTRICT
Entity Type:Organization
Organization Name:GARRISON UNION FREE SCHOOL DISTRICT
Other - Org Name:TOWN OF PHILIPSTOWN BOARD OF EDUCATION DIST 4
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:HUETTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-424-3689
Mailing Address - Street 1:1100 ROUTE 9D
Mailing Address - Street 2:
Mailing Address - City:GARRISON
Mailing Address - State:NY
Mailing Address - Zip Code:10524
Mailing Address - Country:US
Mailing Address - Phone:845-424-3689
Mailing Address - Fax:845-424-4070
Practice Address - Street 1:1100 ROUTE 9D
Practice Address - Street 2:
Practice Address - City:GARRISON
Practice Address - State:NY
Practice Address - Zip Code:10524
Practice Address - Country:US
Practice Address - Phone:845-424-3689
Practice Address - Fax:845-424-4070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02188961Medicaid