Provider Demographics
NPI:1942358536
Name:TOWN OF NEW LEBANON NEW LEBANON CENTRAL SCH BD OF ED
Entity Type:Organization
Organization Name:TOWN OF NEW LEBANON NEW LEBANON CENTRAL SCH BD OF ED
Other - Org Name:NEW LEBANON CENTRAL SCHOOL DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:BUSINESS ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:NYC CHEVRIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-794-7600
Mailing Address - Street 1:14665 STATE ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:NEW LEBANON
Mailing Address - State:NY
Mailing Address - Zip Code:12125-2300
Mailing Address - Country:US
Mailing Address - Phone:518-794-7600
Mailing Address - Fax:518-766-5574
Practice Address - Street 1:14665 STATE ROUTE 22
Practice Address - Street 2:
Practice Address - City:NEW LEBANON
Practice Address - State:NY
Practice Address - Zip Code:12125-2300
Practice Address - Country:US
Practice Address - Phone:518-794-7600
Practice Address - Fax:518-766-5574
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01497456Medicaid