Provider Demographics
NPI:1972879708
Name:SPENCERPORT CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:SPENCERPORT CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF STUDENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SUE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMBARDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-349-5151
Mailing Address - Street 1:2707 SPENCERPORT ROAD
Mailing Address - Street 2:
Mailing Address - City:SPENCERPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14459-1991
Mailing Address - Country:US
Mailing Address - Phone:585-349-5251
Mailing Address - Fax:585-349-5286
Practice Address - Street 1:2707 SPENCERPORT ROAD
Practice Address - Street 2:
Practice Address - City:SPENCERPORT
Practice Address - State:NY
Practice Address - Zip Code:14459-1991
Practice Address - Country:US
Practice Address - Phone:585-349-5251
Practice Address - Fax:585-349-5286
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-27
Last Update Date:2012-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY416062-1261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service