Provider Demographics
NPI:1285784744
Name:ATTICA CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:ATTICA CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CSE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LACEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-591-0400
Mailing Address - Street 1:3338 E MAIN STREET RD
Mailing Address - Street 2:
Mailing Address - City:ATTICA
Mailing Address - State:NY
Mailing Address - Zip Code:14011-9684
Mailing Address - Country:US
Mailing Address - Phone:585-591-0400
Mailing Address - Fax:585-591-4495
Practice Address - Street 1:3338 E MAIN STREET RD
Practice Address - Street 2:
Practice Address - City:ATTICA
Practice Address - State:NY
Practice Address - Zip Code:14011-9684
Practice Address - Country:US
Practice Address - Phone:585-591-0400
Practice Address - Fax:585-591-4495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01500774Medicaid