Organization
FALLSBURG CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HEATHER HENDERSHOT (PPS DIRECTOR)
(845) 434-6800
Entity
Organization
Contact information
Practice address
115 BRICKMAN RD, FALLSBURG, NY 12733-5208
(845) 434-6800
Mailing address
115 BRICKMAN RD, FALLSBURG, NY 12733-5208
(845) 434-6800
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
084500
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01381819
—
NY
Enumeration date
07/08/2016
Last updated
07/08/2016
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