Healthcare Provider Details

I. General information

NPI: 1144598111
Provider Name (Legal Business Name): OGDENSBURG CITY SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2011
Last Update Date: 12/06/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 JEFFERSON AVE
OGDENSBURG NY
13669-3026
US

IV. Provider business mailing address

1100 STATE ST
OGDENSBURG NY
13669-3352
US

V. Phone/Fax

Practice location:
  • Phone: 315-393-7729
  • Fax: 315-393-0419
Mailing address:
  • Phone: 315-393-0900
  • Fax: 315-393-2767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number267049
License Number StateNY

VIII. Authorized Official

Name: MS. ELLEN S. SEIDMAN
Title or Position: SCHOOL NURSE
Credential: RN
Phone: 315-393-0900