Healthcare Provider Details

I. General information

NPI: 1699825943
Provider Name (Legal Business Name): GREENWOOD LAKE UNION FREE SCHOOL DISTR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 11/28/2025
Certification Date: 11/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1247 LAKES RD.
MONROE NY
10950-0008
US

IV. Provider business mailing address

PO BOX 8
GREENWOOD LAKE NY
10925-0008
US

V. Phone/Fax

Practice location:
  • Phone: 845-986-8624
  • Fax: 845-782-2004
Mailing address:
  • Phone: 845-986-8624
  • Fax: 845-782-2004

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: SARAH HADDEN
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential:
Phone: 845-782-8678