Provider Demographics
NPI:1598817272
Name:GRAND ISLAND CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:GRAND ISLAND CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR, PUPIL PERSONNEL
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:M
Authorized Official - Last Name:CARDONE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-773-8816
Mailing Address - Street 1:1100 RANSOM RD
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14072-1460
Mailing Address - Country:US
Mailing Address - Phone:716-773-8815
Mailing Address - Fax:716-773-8843
Practice Address - Street 1:1100 RANSOM RD
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NY
Practice Address - Zip Code:14072-1460
Practice Address - Country:US
Practice Address - Phone:716-773-8815
Practice Address - Fax:716-773-8843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01396345Medicaid