Healthcare Provider Details

I. General information

NPI: 1760666598
Provider Name (Legal Business Name): AFTON CENTRAL SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2007
Last Update Date: 12/28/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 ACADEMY STREET
AFTON NY
13730-0005
US

IV. Provider business mailing address

29 ACADEMY STREET P.O. BOX 5
AFTON NY
13730-0005
US

V. Phone/Fax

Practice location:
  • Phone: 607-639-8229
  • Fax: 607-639-1801
Mailing address:
  • Phone: 607-639-8229
  • Fax: 607-639-1801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MS. ELIZABETH A BRIGGS
Title or Position: SUPERINTENDENT OF SCHOOLS
Credential:
Phone: 607-639-8229