Provider Demographics
NPI:1619020492
Name:MAYFIELD CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:MAYFIELD CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ACQUARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-661-8207
Mailing Address - Street 1:27 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:12117-3452
Mailing Address - Country:US
Mailing Address - Phone:518-661-8207
Mailing Address - Fax:518-661-7666
Practice Address - Street 1:27 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:MAYFIELD
Practice Address - State:NY
Practice Address - Zip Code:12117-3452
Practice Address - Country:US
Practice Address - Phone:518-661-8207
Practice Address - Fax:518-661-7666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01436837Medicaid