Provider Demographics
NPI:1740335413
Name:MORIAH CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:MORIAH CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:LANGEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-546-3301
Mailing Address - Street 1:39 VIKING LN
Mailing Address - Street 2:
Mailing Address - City:PORT HENRY
Mailing Address - State:NY
Mailing Address - Zip Code:12974-1607
Mailing Address - Country:US
Mailing Address - Phone:518-546-3301
Mailing Address - Fax:518-546-7895
Practice Address - Street 1:39 VIKING LN
Practice Address - Street 2:
Practice Address - City:PORT HENRY
Practice Address - State:NY
Practice Address - Zip Code:12974-1607
Practice Address - Country:US
Practice Address - Phone:518-546-3301
Practice Address - Fax:518-546-7895
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01513675Medicaid