Healthcare Provider Details

I. General information

NPI: 1861556797
Provider Name (Legal Business Name): BROCTON CENTRAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2006
Last Update Date: 03/19/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 W MAIN ST
BROCTON NY
14716-9749
US

IV. Provider business mailing address

138 W MAIN ST
BROCTON NY
14716-9749
US

V. Phone/Fax

Practice location:
  • Phone: 716-792-9121
  • Fax: 716-792-9965
Mailing address:
  • Phone: 716-792-9121
  • Fax: 716-792-9965

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. BETTY ANNE DELAND
Title or Position: SCHOOL BUSINESS ADMINISTRATOR
Credential:
Phone: 716-792-2170