Provider Demographics
NPI:1871831834
Name:EAST RAMAPO CSD
Entity Type:Organization
Organization Name:EAST RAMAPO CSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ELIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WIZMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-577-6031
Mailing Address - Street 1:105 S MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-5474
Mailing Address - Country:US
Mailing Address - Phone:845-577-6031
Mailing Address - Fax:
Practice Address - Street 1:151 GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:MONSEY
Practice Address - State:NY
Practice Address - Zip Code:10952-1414
Practice Address - Country:US
Practice Address - Phone:845-577-6263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-27
Last Update Date:2013-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY529755-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WS0200XNursing Service ProvidersRegistered NurseSchoolGroup - Multi-Specialty