MEDICARE: BYRON-BERGEN CENTRAL SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)	251300000X

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497812069
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BYRON-BERGEN CENTRAL SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	6917 W BERGEN RD
Second Line	:
City	:	BERGEN
State	:	NY
Zip	:	14416-9743
Country	:	US
Telephone Number	:	585-494-1220
Fax Number	:	585-494-2613

Provider Business Practice Location Address
First Line	:	6917 W BERGEN RD
Second Line	:
City	:	BERGEN
State	:	NY
Zip	:	14416-9743
Country	:	US
Telephone Number	:	585-494-1220
Fax Number	:	585-494-2613

Authorized Official
Title or Position	:	SCHOOL BUSINESS OFFICIAL
Name	:	MR. WILLIAM E SNYDER JR.
Credential	:
Telephone Number	:	585-494-1220

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	02/17/2015

Similar Medicare Providers

1619252897 — HEIDI M. MUELLER RN
Practice Location Address:

6917 W BERGEN RD
BERGEN, NY
14416-9743

Practice Phone: 585-494-1220
Practice Fax: 585-494-2613

1164707246 — MRS. DIANNE M. CREA-POWERS MSCCC-SLP
Practice Location Address:

6917 W BERGEN RD
BERGEN, NY
14416-9743

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Practice Fax:

1699051615 — MRS. JODI N GILBERT M.S. ED.
Practice Location Address:

6917 W BERGEN RD
BERGEN, NY
14416-9743

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Practice Fax:

1447826896 — BURGUNDY ROSE MCCOY NP
Practice Location Address:

6966 W BERGEN RD
BERGEN, NY
14416-9743

Practice Phone: 585-494-1300
Practice Fax: 585-494-1132

1518728773 — COURTNEY LOUISE BAPST LMSW
Practice Location Address:

6917 W BERGEN RD
BERGEN, NY
14416-9743

Practice Phone: 585-494-1220
Practice Fax:

1013947837 — DR. AMY P MERCOVICH DC
Practice Location Address:

45 N LAKE ST
BERGEN, NY
14416

Practice Phone: 585-494-2870
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Directions to “BYRON-BERGEN CENTRAL SCHOOL DISTRICT ” Practice Location

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