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NPI Code Detail

MEDICARE: NEW YORK STATE DEPARTMENT EDUCATION RUSH HENRIETTA CTRL SCHL DIST 1

MEDICARE: NEW YORK STATE DEPARTMENT EDUCATION RUSH HENRIETTA CTRL SCHL DIST 1
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251300000XLocal Education Agency (LEA)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154470250
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW YORK STATE DEPARTMENT EDUCATION RUSH HENRIETTA CTRL SCHL DIST 1
Provider Business Mailing Address
First Line : 2034 LEHIGH STATION RD
Second Line :
City : HENRIETTA
State : NY
Zip : 14467-9616
Country : US
Telephone Number : 585-359-5000
Fax Number : 585-359-5022
Provider Business Practice Location Address
First Line : 2034 LEHIGH STATION RD
Second Line :
City : HENRIETTA
State : NY
Zip : 14467-9616
Country : US
Telephone Number : 585-359-5000
Fax Number : 585-359-5022
Authorized Official
Title or Position : SUPERINTENDENT OF SCHOOLS
Name : DR. J KENNETH GRAHAM JR.
Credential : PHD
Telephone Number : 585-359-5012
Provider Enumeration Date : 01/09/2007
Last Update Date : 06/25/2015

Similar Medicare Providers

1992773105 — JILL S BERNHARDT NP
Practice Location Address:
2034 LEHIGH STATION RD
HENRIETTA, NY
14467-9616
Practice Phone: 585-359-5028
Practice Fax:
1538454525 — ELLEN MARIE CULLEN OTR/L
Practice Location Address:
2034 LEHIGH STATION RD
HENRIETTA, NY
14467-9616
Practice Phone: 585-359-7925
Practice Fax:
1356638563 — RUSH-HENRIETTA CENTRAL SCHOOL DISTRICT
Practice Location Address:
2034 LEHIGH STATION RD
HENRIETTA, NY
14467-9616
Practice Phone: 585-359-5000
Practice Fax:
1083994669 — MRS. DIANNA M FLEMING OTR/L
Practice Location Address:
2034 LEHIGH STATION RD
HENRIETTA, NY
14467-9616
Practice Phone: 585-359-5000
Practice Fax:
1750663514 — MRS. JENNIFER ELIZABETH ROUSE M.S., CCC-SLP
Practice Location Address:
2034 LEHIGH STATION RD
HENRIETTA, NY
14467-9616
Practice Phone: 585-395-5000
Practice Fax: 585-359-5045
1225313018 — MS. DENISE WIERZBA OTR/L
Practice Location Address:
2034 LEHIGH STATION RD
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14467-9616
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Practice Fax:

Directions to “NEW YORK STATE DEPARTMENT EDUCATION RUSH HENRIETTA CTRL SCHL DIST 1 ” Practice Location

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