Provider Demographics
NPI:1245397421
Name:CINCINNATUS CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:CINCINNATUS CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:A
Authorized Official - Last Name:PASSIGLI
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:607-749-1226
Mailing Address - Street 1:PO BOX 500
Mailing Address - Street 2:
Mailing Address - City:HOMER
Mailing Address - State:NY
Mailing Address - Zip Code:13077-0500
Mailing Address - Country:US
Mailing Address - Phone:607-749-1226
Mailing Address - Fax:607-749-2312
Practice Address - Street 1:2809 CINCINNATUS RD
Practice Address - Street 2:
Practice Address - City:CINCINNATUS
Practice Address - State:NY
Practice Address - Zip Code:13040-9685
Practice Address - Country:US
Practice Address - Phone:607-863-3200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
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
NY01379400Medicaid