Healthcare Provider Details

I. General information

NPI: 1184781759
Provider Name (Legal Business Name): CANISTEO-GREENWOOD CENTRAL SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 04/02/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 GREENWOOD STREET
CANISTEO NY
14823
US

IV. Provider business mailing address

84 GREENWOOD STREET
CANISTEO NY
14823
US

V. Phone/Fax

Practice location:
  • Phone: 607-698-4225
  • Fax: 607-698-2833
Mailing address:
  • Phone: 607-698-4225
  • Fax: 607-698-2833

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. THERESA M. PARULSKI-MCKENN
Title or Position: BUSINESS ADMINISTRATOR
Credential:
Phone: 607-698-4225