Organization
PORT JERVIS CITY SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA MARIE BUCZEK (ADMINISTRATIVE AIDE)
(845) 858-3100
Entity
Organization
Contact information
Practice address
9 THOMPSON ST, PORT JERVIS, NY 12771-3042
(845) 858-3185
(845) 858-4211
Mailing address
9 THOMPSON ST, PORT JERVIS, NY 12771-3042
(845) 858-3185
(845) 858-4211
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01380029
—
NY
Enumeration date
01/09/2007
Last updated
03/17/2015
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