Provider Demographics
NPI:1023330685
Name:KATONAH-LEWISBORO UNION FREE SCHOOL DISTRICT
Entity type:Organization
Organization Name:KATONAH-LEWISBORO UNION FREE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:PHYLLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-763-7023
Mailing Address - Street 1:PO BOX 387
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-0387
Mailing Address - Country:US
Mailing Address - Phone:914-763-7023
Mailing Address - Fax:914-763-6703
Practice Address - Street 1:1 SHADY LANE
Practice Address - Street 2:
Practice Address - City:SOUTH SALEM
Practice Address - State:NY
Practice Address - Zip Code:10590-1030
Practice Address - Country:US
Practice Address - Phone:914-763-7021
Practice Address - Fax:914-763-7035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-24
Last Update Date:2010-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01735033Medicaid