Healthcare Provider Details

I. General information

NPI: 1831214063
Provider Name (Legal Business Name): NEW YORK ST DEPT EDUCAT N COLLINS CNTRL SCH DIST
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/20/2007
Last Update Date: 06/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2045 SCHOOL ST
NORTH COLLINS NY
14111-9774
US

IV. Provider business mailing address

2045 SCHOOL ST
NORTH COLLINS NY
14111-9774
US

V. Phone/Fax

Practice location:
  • Phone: 716-337-0101
  • Fax: 716-337-0658
Mailing address:
  • Phone: 716-337-0101
  • Fax: 716-337-0658

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: DIANE HAIGHT
Title or Position: DISTRICT TREASURER
Credential:
Phone: 716-337-0101