Provider Demographics
NPI:1336294818
Name:UNION ENDICOTT CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:UNION ENDICOTT CENTRAL SCHOOL DISTRICT
Other - Org Name:PUPIL SERVICES DEPARTMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR OF PUPIL SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:PERKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-757-2123
Mailing Address - Street 1:1100 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ENDICOTT
Mailing Address - State:NY
Mailing Address - Zip Code:13760-5254
Mailing Address - Country:US
Mailing Address - Phone:607-757-2123
Mailing Address - Fax:607-757-2142
Practice Address - Street 1:1100 E MAIN ST
Practice Address - Street 2:
Practice Address - City:ENDICOTT
Practice Address - State:NY
Practice Address - Zip Code:13760-5254
Practice Address - Country:US
Practice Address - Phone:607-757-2123
Practice Address - Fax:607-757-2142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01378647251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01378647Medicaid