Provider Demographics
NPI:1841349289
Name:GREENE CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:GREENE CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUBITSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-656-4161
Mailing Address - Street 1:40 S. CANAL STREET
Mailing Address - Street 2:
Mailing Address - City:GREENE
Mailing Address - State:NY
Mailing Address - Zip Code:13778
Mailing Address - Country:US
Mailing Address - Phone:607-656-4161
Mailing Address - Fax:607-656-7933
Practice Address - Street 1:40 S. CANAL STREET
Practice Address - Street 2:
Practice Address - City:GREENE
Practice Address - State:NY
Practice Address - Zip Code:13778
Practice Address - Country:US
Practice Address - Phone:607-656-4161
Practice Address - Fax:607-656-7933
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2015-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01390532Medicaid