Provider Demographics
NPI:1962770271
Name:SCHENECTADY CITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:SCHENECTADY CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:DEORAH
Authorized Official - Middle Name:CHARLOTTE
Authorized Official - Last Name:GUTOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:518-370-8292
Mailing Address - Street 1:1880 LANCASTER ST
Mailing Address - Street 2:
Mailing Address - City:SCHENECTADY
Mailing Address - State:NY
Mailing Address - Zip Code:12308-1533
Mailing Address - Country:US
Mailing Address - Phone:510-370-8292
Mailing Address - Fax:518-881-3882
Practice Address - Street 1:1880 LANCASTER ST
Practice Address - Street 2:
Practice Address - City:SCHENECTADY
Practice Address - State:NY
Practice Address - Zip Code:12308-1533
Practice Address - Country:US
Practice Address - Phone:510-370-8292
Practice Address - Fax:518-881-3882
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY297987-1251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)