Provider Demographics
NPI:1023455870
Name:PALISADES PARK SCHOOL DISTRICT
Entity type:Organization
Organization Name:PALISADES PARK SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRINCIPAL/DIRECTOR OF SPECIAL SERVI
Authorized Official - Prefix:
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:REISENAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-947-2761
Mailing Address - Street 1:271 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PALISADES PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07650-1543
Mailing Address - Country:US
Mailing Address - Phone:201-947-2761
Mailing Address - Fax:201-947-0945
Practice Address - Street 1:271 2ND ST
Practice Address - Street 2:
Practice Address - City:PALISADES PARK
Practice Address - State:NJ
Practice Address - Zip Code:07650-1543
Practice Address - Country:US
Practice Address - Phone:201-947-2761
Practice Address - Fax:201-947-0945
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-03
Last Update Date:2013-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)