Provider Demographics
NPI:1437350170
Name:SIDNEY CENTRAL SCHOOL
Entity Type:Organization
Organization Name:SIDNEY CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CSE SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BRANDL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-563-2135
Mailing Address - Street 1:15 PEARL ST E
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:NY
Mailing Address - Zip Code:13838-1597
Mailing Address - Country:US
Mailing Address - Phone:607-563-2135
Mailing Address - Fax:607-563-7037
Practice Address - Street 1:15 PEARL ST E
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NY
Practice Address - Zip Code:13838-1597
Practice Address - Country:US
Practice Address - Phone:607-563-2135
Practice Address - Fax:607-563-7037
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
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
NY01398892Medicaid