MEDICARE: CINCINNATUS CENTRAL SCHOOL DISTRICT

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
1	251300000X	Local Education Agency (LEA)

Other Identifiers

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

General Provider Information

NPI Number	:	1245397421
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CINCINNATUS CENTRAL SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	PO BOX 500
Second Line	:
City	:	HOMER
State	:	NY
Zip	:	13077-0500
Country	:	US
Telephone Number	:	607-749-1226
Fax Number	:	607-749-2312

Provider Business Practice Location Address
First Line	:	2809 CINCINNATUS RD
Second Line	:
City	:	CINCINNATUS
State	:	NY
Zip	:	13040-9685
Country	:	US
Telephone Number	:	607-863-3200
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR OF SPECIAL EDUCATION
Name	:	DR. RICHARD A. PASSIGLI
Credential	:	ED.D.
Telephone Number	:	607-749-1226

Provider Enumeration Date	:	01/03/2007
Last Update Date	:	08/22/2020

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