Provider Demographics
NPI:1417379264
Name:CENTRAL VALLEY CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:CENTRAL VALLEY CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:LORNA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:ZELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:315-866-5117
Mailing Address - Street 1:10 FISHER AVE
Mailing Address - Street 2:
Mailing Address - City:MOHAWK
Mailing Address - State:NY
Mailing Address - Zip Code:13407-1537
Mailing Address - Country:US
Mailing Address - Phone:315-866-4851
Mailing Address - Fax:315-866-0055
Practice Address - Street 1:10 FISHER AVE
Practice Address - Street 2:
Practice Address - City:MOHAWK
Practice Address - State:NY
Practice Address - Zip Code:13407-1537
Practice Address - Country:US
Practice Address - Phone:315-866-4851
Practice Address - Fax:315-866-0055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-14
Last Update Date:2014-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22-427881251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)