Provider Demographics
NPI:1831227396
Name:TOWNS OF CORNWALL CENTRAL SCHOOL DISTRICT 1
Entity type:Organization
Organization Name:TOWNS OF CORNWALL CENTRAL SCHOOL DISTRICT 1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR PUIPIL PERSONNEL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JILL
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYNTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-534-8009
Mailing Address - Street 1:10 DRAGON DR
Mailing Address - Street 2:OFFICE OF PPS
Mailing Address - City:NEW WINDSOR
Mailing Address - State:NY
Mailing Address - Zip Code:12553-8670
Mailing Address - Country:US
Mailing Address - Phone:845-534-8009
Mailing Address - Fax:
Practice Address - Street 1:10 DRAGON DR
Practice Address - Street 2:OFFICE OF PPS
Practice Address - City:NEW WINDSOR
Practice Address - State:NY
Practice Address - Zip Code:12553-8670
Practice Address - Country:US
Practice Address - Phone:845-534-8009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01500816Medicaid