Provider Demographics
NPI:1598036337
Name:AUBURN ENLARGED CITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:AUBURN ENLARGED CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:OWNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:315-255-8811
Mailing Address - Street 1:78 THORNTON AVE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-4683
Mailing Address - Country:US
Mailing Address - Phone:315-255-8829
Mailing Address - Fax:315-255-8855
Practice Address - Street 1:78 THORNTON AVE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-4683
Practice Address - Country:US
Practice Address - Phone:315-255-8829
Practice Address - Fax:315-255-8855
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2012-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY397864251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY163WS0200XMedicaid