Provider Demographics
NPI:1144598111
Name:OGDENSBURG CITY SCHOOL DISTRICT
Entity Type:Organization
Organization Name:OGDENSBURG CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:S
Authorized Official - Last Name:SEIDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:315-393-0900
Mailing Address - Street 1:1100 STATE ST
Mailing Address - Street 2:
Mailing Address - City:OGDENSBURG
Mailing Address - State:NY
Mailing Address - Zip Code:13669-3352
Mailing Address - Country:US
Mailing Address - Phone:315-393-0900
Mailing Address - Fax:315-393-2767
Practice Address - Street 1:800 JEFFERSON AVE
Practice Address - Street 2:
Practice Address - City:OGDENSBURG
Practice Address - State:NY
Practice Address - Zip Code:13669-3026
Practice Address - Country:US
Practice Address - Phone:315-393-7729
Practice Address - Fax:315-393-0419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-06
Last Update Date:2011-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY267049251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY163WS0200XMedicaid