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NPI Code Detail

MEDICARE: WILSON CENTRAL SCHOOLS

MEDICARE: WILSON CENTRAL SCHOOLS
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)

General Provider Information

NPI Number : 1477606994
Entity Type Code : Organization
Provider Name (Legal Business Name) : WILSON CENTRAL SCHOOLS
Provider Business Mailing Address
First Line : 412 LAKE ST.
Second Line :
City : WILSON
State : NY
Zip : 14172
Country : US
Telephone Number : 716-751-9341
Fax Number : 716-751-0008
Provider Business Practice Location Address
First Line : 412 LAKE ST.
Second Line :
City : WILSON
State : NY
Zip : 14172
Country : US
Telephone Number : 716-751-9341
Fax Number : 716-751-0008
Authorized Official
Title or Position : DIRECTOR OF SPECIAL ED.
Name : MR. MICHAEL A. CANCILLA JR
Credential :
Telephone Number : 716-751-9341
Provider Enumeration Date : 01/19/2007
Last Update Date : 05/01/2015

Similar Medicare Providers

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1144419557 — MR. KAREN JILL DAVIES LMT
Practice Location Address:
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1619125374 — MS. BARBARA JEAN SKAVINSKY L.M.T.
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Directions to “WILSON CENTRAL SCHOOLS ” Practice Location

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