Provider Demographics
NPI:1447300124
Name:WASHINGTONVILLE CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:WASHINGTONVILLE CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST SUPT FOR SPECIAL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:COGLIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-497-2200
Mailing Address - Street 1:22 SARAH WELLS TRL
Mailing Address - Street 2:BUILDING 2 SUITE 1
Mailing Address - City:CAMPBELL HALL
Mailing Address - State:NY
Mailing Address - Zip Code:10916-3308
Mailing Address - Country:US
Mailing Address - Phone:845-497-2200
Mailing Address - Fax:845-496-2730
Practice Address - Street 1:22 SARAH WELLS TRL
Practice Address - Street 2:BUILDING 2 SUITE 1
Practice Address - City:CAMPBELL HALL
Practice Address - State:NY
Practice Address - Zip Code:10916-3308
Practice Address - Country:US
Practice Address - Phone:845-497-2200
Practice Address - Fax:845-496-2730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1398883Medicaid