Provider Demographics
NPI:1063560274
Name:GUILDERLAND CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:GUILDERLAND CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-456-6200
Mailing Address - Street 1:PO BOX 18
Mailing Address - Street 2:8 SCHOOL ROAD
Mailing Address - City:GUILDERLAND CENTER
Mailing Address - State:NY
Mailing Address - Zip Code:12085-0018
Mailing Address - Country:US
Mailing Address - Phone:518-456-6200
Mailing Address - Fax:518-456-1152
Practice Address - Street 1:8 SCHOOL ROAD
Practice Address - Street 2:
Practice Address - City:GUILDERLAND CENTER
Practice Address - State:NY
Practice Address - Zip Code:12085-0018
Practice Address - Country:US
Practice Address - Phone:518-456-6200
Practice Address - Fax:518-456-1152
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2015-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01390569Medicaid