Provider Demographics
NPI:1477691897
Name:CLEVELAND HILL SCHOOL
Entity Type:Organization
Organization Name:CLEVELAND HILL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PUPIL PERSONEL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:FEDERICI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-836-7200
Mailing Address - Street 1:105 MAPLEVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1524
Mailing Address - Country:US
Mailing Address - Phone:716-836-7200
Mailing Address - Fax:
Practice Address - Street 1:105 MAPLEVIEW RD
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-1524
Practice Address - Country:US
Practice Address - Phone:716-836-7200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
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
NY01369011Medicaid