Provider Demographics
NPI:1447309729
Name:FORT PLAIN CENTRAL SCHOOL
Entity type:Organization
Organization Name:FORT PLAIN CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:ZISKIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-993-4000
Mailing Address - Street 1:25 HIGH STREET
Mailing Address - Street 2:DISTRICT OFFIICE
Mailing Address - City:FORT PLAIN
Mailing Address - State:NY
Mailing Address - Zip Code:13339
Mailing Address - Country:US
Mailing Address - Phone:518-993-4000
Mailing Address - Fax:518-993-3393
Practice Address - Street 1:25 HIGH STREET
Practice Address - Street 2:DISTRICT OFFIICE
Practice Address - City:FORT PLAIN
Practice Address - State:NY
Practice Address - Zip Code:13339
Practice Address - Country:US
Practice Address - Phone:518-993-4000
Practice Address - Fax:518-993-3393
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2015-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251300000X251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01441574Medicaid