Provider Demographics
NPI:1144370867
Name:PINE BUSH CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:PINE BUSH CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SUPERINTENDENT FOR BUSINESS
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PACELLA, JR.
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-744-2031
Mailing Address - Street 1:PO BOX 700
Mailing Address - Street 2:
Mailing Address - City:PINE BUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12566-0700
Mailing Address - Country:US
Mailing Address - Phone:845-744-2031
Mailing Address - Fax:845-744-6189
Practice Address - Street 1:156 STATE ROUTE 302
Practice Address - Street 2:
Practice Address - City:PINE BUSH
Practice Address - State:NY
Practice Address - Zip Code:12566-7130
Practice Address - Country:US
Practice Address - Phone:845-744-2031
Practice Address - Fax:845-744-6189
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2015-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01388325Medicaid