Healthcare Provider Details

I. General information

NPI: 1972649119
Provider Name (Legal Business Name): ANDOVER CENTAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 02/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 ELM STREET
ANDOVER NY
14806-0508
US

IV. Provider business mailing address

31-35 ELM STREET
ANDOVER NY
14806-0508
US

V. Phone/Fax

Practice location:
  • Phone: 607-478-8491
  • Fax: 607-478-8085
Mailing address:
  • Phone: 607-478-8491
  • Fax: 607-478-8085

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: MRS. LINDA M GEER
Title or Position: BUS. ADMINISTRATOR
Credential:
Phone: 607-478-8491