Provider Demographics
NPI:1831214063
Name:NEW YORK ST DEPT EDUCAT N COLLINS CNTRL SCH DIST
Entity type:Organization
Organization Name:NEW YORK ST DEPT EDUCAT N COLLINS CNTRL SCH DIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DISTRICT TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-337-0101
Mailing Address - Street 1:2045 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:NORTH COLLINS
Mailing Address - State:NY
Mailing Address - Zip Code:14111-9774
Mailing Address - Country:US
Mailing Address - Phone:716-337-0101
Mailing Address - Fax:716-337-0658
Practice Address - Street 1:2045 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:NORTH COLLINS
Practice Address - State:NY
Practice Address - Zip Code:14111-9774
Practice Address - Country:US
Practice Address - Phone:716-337-0101
Practice Address - Fax:716-337-0658
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01377715Medicaid