Healthcare Provider Details

I. General information

NPI: 1013117522
Provider Name (Legal Business Name): PIONEER CENTRAL SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2007
Last Update Date: 03/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CHURCH AND MAIN STREET
ARCADE NY
14009
US

IV. Provider business mailing address

PO BOX 579
YORKSHIRE NY
14173-0579
US

V. Phone/Fax

Practice location:
  • Phone: 716-492-9435
  • Fax: 716-492-9442
Mailing address:
  • Phone: 716-492-9435
  • Fax: 716-492-9442

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: MR. MICHAEL B. LUCOW
Title or Position: DIRECTOR OF SPECIAL EDUCATION
Credential:
Phone: 716-492-9435