Provider Demographics
NPI:1437428661
Name:PEMBROKE CENTRAL SCHOOL
Entity Type:Organization
Organization Name:PEMBROKE CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:J
Authorized Official - Last Name:STRINGHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:585-599-3626
Mailing Address - Street 1:PO BOX 308
Mailing Address - Street 2:
Mailing Address - City:CORFU
Mailing Address - State:NY
Mailing Address - Zip Code:14036-0308
Mailing Address - Country:US
Mailing Address - Phone:585-599-3626
Mailing Address - Fax:585-599-4213
Practice Address - Street 1:58 ALLEGHANY RD
Practice Address - Street 2:
Practice Address - City:CORFU
Practice Address - State:NY
Practice Address - Zip Code:14036-9409
Practice Address - Country:US
Practice Address - Phone:585-599-3626
Practice Address - Fax:585-599-4213
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY298151-1251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care