Provider Demographics
NPI:1700924990
Name:HALDANE CSD
Entity Type:Organization
Organization Name:HALDANE CSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRITON-WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-265-9254
Mailing Address - Street 1:15 CRAIGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:COLD SPRING
Mailing Address - State:NY
Mailing Address - Zip Code:10516-1813
Mailing Address - Country:US
Mailing Address - Phone:845-265-9254
Mailing Address - Fax:
Practice Address - Street 1:15 CRAIGSIDE DR
Practice Address - Street 2:
Practice Address - City:COLD SPRING
Practice Address - State:NY
Practice Address - Zip Code:10516-1813
Practice Address - Country:US
Practice Address - Phone:845-265-9254
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2015-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01533320Medicaid