Provider Demographics
NPI:1760547475
Name:HUNTER TANNERSVILLE CENTRAL SCHOOL
Entity Type:Organization
Organization Name:HUNTER TANNERSVILLE CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:DARFLER-SWEENEY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:518-589-5400
Mailing Address - Street 1:6094 MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:TANNERSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12485
Mailing Address - Country:US
Mailing Address - Phone:518-263-4256
Mailing Address - Fax:518-263-3902
Practice Address - Street 1:6094 MAIN ST.
Practice Address - Street 2:
Practice Address - City:TANNERSVILLE
Practice Address - State:NY
Practice Address - Zip Code:12485
Practice Address - Country:US
Practice Address - Phone:518-263-4256
Practice Address - Fax:518-263-3902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01379804Medicaid