Provider Demographics
NPI:1508132655
Name:TOWN OF HAMBURG YOUTH RECREATION, AND SENIOR SERVICES
Entity Type:Organization
Organization Name:TOWN OF HAMBURG YOUTH RECREATION, AND SENIOR SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RECREATION SUPERVISOR
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHEFFLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-646-0665
Mailing Address - Street 1:4150 SOWLES RD
Mailing Address - Street 2:
Mailing Address - City:HAMBURG
Mailing Address - State:NY
Mailing Address - Zip Code:14075-7514
Mailing Address - Country:US
Mailing Address - Phone:716-646-0665
Mailing Address - Fax:
Practice Address - Street 1:4150 SOWLES RD
Practice Address - Street 2:
Practice Address - City:HAMBURG
Practice Address - State:NY
Practice Address - Zip Code:14075-7514
Practice Address - Country:US
Practice Address - Phone:716-646-0665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Multi-Specialty