Provider Demographics
NPI:1114081023
Name:TONAWANDA CITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:TONAWANDA CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUPIL PERSONNEL
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:K
Authorized Official - Last Name:EDGERTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-694-7684
Mailing Address - Street 1:100 HINDS ST.
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150
Mailing Address - Country:US
Mailing Address - Phone:716-694-7684
Mailing Address - Fax:716-695-5504
Practice Address - Street 1:202 BROAD ST
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-2031
Practice Address - Country:US
Practice Address - Phone:716-694-7687
Practice Address - Fax:716-694-3925
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-22
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01364685Medicaid