Provider Demographics
NPI:1114073533
Name:HOLLEY CENTRAL SCHOOL
Entity Type:Organization
Organization Name:HOLLEY CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:D'ANGELO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-638-6316
Mailing Address - Street 1:3800 N MAIN STREET RD
Mailing Address - Street 2:
Mailing Address - City:HOLLEY
Mailing Address - State:NY
Mailing Address - Zip Code:14470-9381
Mailing Address - Country:US
Mailing Address - Phone:585-638-6316
Mailing Address - Fax:585-638-7409
Practice Address - Street 1:3800 N MAIN STREET RD
Practice Address - Street 2:
Practice Address - City:HOLLEY
Practice Address - State:NY
Practice Address - Zip Code:14470-9381
Practice Address - Country:US
Practice Address - Phone:585-638-6316
Practice Address - Fax:585-638-7409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01369117Medicaid