Healthcare Provider Details

I. General information

NPI: 1740335413
Provider Name (Legal Business Name): MORIAH CENTRAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 05/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 VIKING LN
PORT HENRY NY
12974-1607
US

IV. Provider business mailing address

39 VIKING LN
PORT HENRY NY
12974-1607
US

V. Phone/Fax

Practice location:
  • Phone: 518-546-3301
  • Fax: 518-546-7895
Mailing address:
  • Phone: 518-546-3301
  • Fax: 518-546-7895

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: MRS. CARRIE LANGEY
Title or Position: DIRECTOR OF SPECIAL SERVICES
Credential:
Phone: 518-546-3301