Provider Demographics
NPI:1306233960
Name:WILSON CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:WILSON CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CANCILLA
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:716-751-9341
Mailing Address - Street 1:412 LAKE ST.
Mailing Address - Street 2:P.O. BOX 648
Mailing Address - City:WILSON
Mailing Address - State:NY
Mailing Address - Zip Code:14172-0648
Mailing Address - Country:US
Mailing Address - Phone:716-751-9341
Mailing Address - Fax:716-751-0008
Practice Address - Street 1:412 LAKE ST
Practice Address - Street 2:
Practice Address - City:WILSON
Practice Address - State:NY
Practice Address - Zip Code:14172-9798
Practice Address - Country:US
Practice Address - Phone:716-751-9341
Practice Address - Fax:716-751-0008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-22
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)