MEDICARE: LIVINGSTON MANOR CENTRAL SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497804033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVINGSTON MANOR CENTRAL SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 947
Second Line	:	19 SCHOOL ST.
City	:	LIVINGSTON MANOR
State	:	NY
Zip	:	12758-0947
Country	:	US
Telephone Number	:	845-439-4400
Fax Number	:	845-439-4717

Provider Business Practice Location Address
First Line	:	19 SCHOOL ST
Second Line	:
City	:	LIVINGSTON MANOR
State	:	NY
Zip	:	12758-0947
Country	:	US
Telephone Number	:	845-439-4400
Fax Number	:	845-439-4717

Authorized Official
Title or Position	:	SUPERINTENDENT
Name	:	DR. DEBRA M LYNKER
Credential	:	ED. D
Telephone Number	:	845-439-4400

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	08/22/2020

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