Provider Demographics
NPI:1316657299
Name:VILLAGE OF CANISTEO
Entity type:Organization
Organization Name:VILLAGE OF CANISTEO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLERK-TREASURER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:OLIVERIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-698-4553
Mailing Address - Street 1:8 GREEN ST
Mailing Address - Street 2:
Mailing Address - City:CANISTEO
Mailing Address - State:NY
Mailing Address - Zip Code:14823-1059
Mailing Address - Country:US
Mailing Address - Phone:607-698-4553
Mailing Address - Fax:
Practice Address - Street 1:14 MAIN ST
Practice Address - Street 2:
Practice Address - City:CANISTEO
Practice Address - State:NY
Practice Address - Zip Code:14823-0010
Practice Address - Country:US
Practice Address - Phone:607-698-4553
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-01
Last Update Date:2022-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No333300000XSuppliersEmergency Response System Companies
No341600000XTransportation ServicesAmbulance