Healthcare Provider Details

I. General information

NPI: 1417006263
Provider Name (Legal Business Name): FLORIDA UNION FREE SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/10/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 N MAIN ST P.O. DRAWER 757
FLORIDA NY
10921-1305
US

IV. Provider business mailing address

53 N MAIN ST P.O. DRAWER 757
FLORIDA NY
10921-1305
US

V. Phone/Fax

Practice location:
  • Phone: 845-651-1464
  • Fax: 845-651-5490
Mailing address:
  • Phone: 845-651-1464
  • Fax: 845-651-5490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LISA TIGER
Title or Position: DIRECTOR OF PUPIL PERSONNEL
Credential:
Phone: 845-651-1464