Provider Demographics
NPI:1003956780
Name:PANAMA CENTRAL SCHOOL
Entity Type:Organization
Organization Name:PANAMA CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BURT
Authorized Official - Middle Name:
Authorized Official - Last Name:LICTUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-782-4446
Mailing Address - Street 1:41 NORTH ST.
Mailing Address - Street 2:
Mailing Address - City:PANAMA
Mailing Address - State:NY
Mailing Address - Zip Code:14767
Mailing Address - Country:US
Mailing Address - Phone:716-782-2455
Mailing Address - Fax:716-782-4674
Practice Address - Street 1:41 NORTH ST.
Practice Address - Street 2:
Practice Address - City:PANAMA
Practice Address - State:NY
Practice Address - Zip Code:14767
Practice Address - Country:US
Practice Address - Phone:716-782-2455
Practice Address - Fax:716-782-4674
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2015-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)