Provider Demographics
NPI:1699825943
Name:GREENWOOD LAKE UNION FREE SCHOOL DISTR
Entity Type:Organization
Organization Name:GREENWOOD LAKE UNION FREE SCHOOL DISTR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ACKERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-782-8678
Mailing Address - Street 1:PO BOX 8
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:10925-0008
Mailing Address - Country:US
Mailing Address - Phone:845-986-8624
Mailing Address - Fax:845-782-2004
Practice Address - Street 1:1247 LAKES RD.
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NY
Practice Address - Zip Code:10950-0008
Practice Address - Country:US
Practice Address - Phone:845-986-8624
Practice Address - Fax:845-782-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01455325Medicaid