Healthcare Provider Details

I. General information

NPI: 1487851440
Provider Name (Legal Business Name): MILFORD CENTRAL SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 10/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

242 WEST MAIN STREET
MILFORD NY
13807
US

IV. Provider business mailing address

PO BOX 237
MILFORD NY
13807-0237
US

V. Phone/Fax

Practice location:
  • Phone: 607-286-3349
  • Fax: 607-286-7879
Mailing address:
  • Phone: 607-286-3349
  • Fax: 607-286-7879

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. PETER LIVSHIN
Title or Position: SUPERINTENDENT
Credential:
Phone: 607-286-3349