Healthcare Provider Details

I. General information

NPI: 1780720235
Provider Name (Legal Business Name): FALLSBURG CENTRAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 05/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 BRICKMAN ROAD
FALLSBURG NY
12733
US

IV. Provider business mailing address

P.O. BOX 124
FALLSBURG NY
12733
US

V. Phone/Fax

Practice location:
  • Phone: 845-434-5664
  • Fax: 845-434-0418
Mailing address:
  • Phone: 845-434-5884
  • Fax: 845-434-0418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number StateNY

VIII. Authorized Official

Name: IVAN J KATZ
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential: ED.D.
Phone: 845-434-6800