Organization
INDIAN LAKE CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK T BRAND (SUPERINTENDENT)
(518) 648-5024
Entity
Organization
Contact information
Practice address
28 W MAIN ST, INDIAN LAKE, NY 12842-1500
(518) 648-5024
(518) 648-6346
Mailing address
28 W MAIN ST, INDIAN LAKE, NY 12842-1500
(518) 648-5024
(518) 648-6346
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01382301
—
NY
Enumeration date
01/23/2007
Last updated
03/18/2015
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