Provider Demographics
NPI:1639326333
Name:NORTH COLONIE CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:NORTH COLONIE CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUPIL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:SEMO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:518-785-5511
Mailing Address - Street 1:445 WATERVLIET SHAKER ROAD
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-4697
Mailing Address - Country:US
Mailing Address - Phone:518-785-5511
Mailing Address - Fax:518-783-4507
Practice Address - Street 1:445 WATERVLIET SHAKER ROAD
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-4697
Practice Address - Country:US
Practice Address - Phone:518-785-5511
Practice Address - Fax:518-783-4507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-25
Last Update Date:2015-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY03052893Medicaid
NY01399848Medicaid