Healthcare Provider Details

I. General information

NPI: 1124175633
Provider Name (Legal Business Name): MARGARETVILLE CENTRAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

415 MAIN STREET
MARGARETVILLE NY
12455-0319
US

IV. Provider business mailing address

PO BOX 319
MARGARETVILLE NY
12455-0319
US

V. Phone/Fax

Practice location:
  • Phone: 845-586-2647
  • Fax:
Mailing address:
  • Phone:
  • Fax:

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: MR. JOHN RIEDL
Title or Position: SUPERINTENDENT
Credential:
Phone: 845-586-2647