Provider Demographics
NPI:1841348141
Name:HENDRICK HUDSON SCHOOL DISTRICT
Entity type:Organization
Organization Name:HENDRICK HUDSON SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PPS
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:M
Authorized Official - Last Name:RAFALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:914-257-5147
Mailing Address - Street 1:7 FURNACE WOODS ROAD
Mailing Address - Street 2:HENDRICK HUDSON CSD OFFICE OF PPS
Mailing Address - City:CORTLANDT MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10567
Mailing Address - Country:US
Mailing Address - Phone:914-257-5147
Mailing Address - Fax:914-257-5141
Practice Address - Street 1:7 FURNACE WOODS RD
Practice Address - Street 2:SPECIAL EDUCATION OFFICE
Practice Address - City:CORTLANDT MANOR
Practice Address - State:NY
Practice Address - Zip Code:10567-6409
Practice Address - Country:US
Practice Address - Phone:914-736-5501
Practice Address - Fax:914-737-7148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01369300Medicaid