Organization
LUZERNE IU
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL M OSTROWSKI (EXECUTIVE DIRECTOR)
(570) 762-8884
Entity
Organization
Contact information
Practice address
368 TIOGA AVE, KINGSTON, PA 18704-5117
(570) 287-9681
(570) 287-5721
Mailing address
368 TIOGA AVE, KINGSTON, PA 18704-5117
(570) 287-9681
(570) 287-5721
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000036690002
—
PA
Enumeration date
10/12/2006
Last updated
08/22/2020
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