Provider Demographics
NPI:1194880963
Name:HUDSON FALLS CENTRAL SCHOOL
Entity type:Organization
Organization Name:HUDSON FALLS CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:VINCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CANINI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-747-2121
Mailing Address - Street 1:1153 BURGOYNE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT EDWARD
Mailing Address - State:NY
Mailing Address - Zip Code:12828-1135
Mailing Address - Country:US
Mailing Address - Phone:518-747-2121
Mailing Address - Fax:518-747-0951
Practice Address - Street 1:1153 BURGOYNE AVE
Practice Address - Street 2:
Practice Address - City:FORT EDWARD
Practice Address - State:NY
Practice Address - Zip Code:12828-1135
Practice Address - Country:US
Practice Address - Phone:518-747-2121
Practice Address - Fax:518-747-0951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY14740070K251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01402955Medicaid