Provider Demographics
NPI:1154690907
Name:SS. PETER&PAUL SCHOOL
Entity type:Organization
Organization Name:SS. PETER&PAUL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:MRS
Authorized Official - First Name:JANICE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:DEMMERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-649-7030
Mailing Address - Street 1:68 EAST MAIN ST
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075
Mailing Address - Country:US
Mailing Address - Phone:716-649-7030
Mailing Address - Fax:716-312-9313
Practice Address - Street 1:68 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-5009
Practice Address - Country:US
Practice Address - Phone:716-649-7030
Practice Address - Fax:716-312-9313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-23
Last Update Date:2011-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY255345251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care