Provider Demographics
NPI:1548755713
Name:CONNARTON, LINSEY (SPECIAL EDUCATION TE)
Entity Type:Individual
Prefix:
First Name:LINSEY
Middle Name:
Last Name:CONNARTON
Suffix:
Gender:F
Credentials:SPECIAL EDUCATION TE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 STEUBEN ST
Mailing Address - Street 2:
Mailing Address - City:HERKIMER
Mailing Address - State:NY
Mailing Address - Zip Code:13350-1209
Mailing Address - Country:US
Mailing Address - Phone:315-269-8860
Mailing Address - Fax:
Practice Address - Street 1:325 5TH AVE
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:NY
Practice Address - Zip Code:13340-3622
Practice Address - Country:US
Practice Address - Phone:315-717-2782
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-28
Last Update Date:2018-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency
Provider Identifiers
StateIdentifier IDID TypeIssuer
3157172782OtherSIMPLY SPECIAL ERICKA HENDRICKSON