Provider Demographics
NPI:1760666598
Name:AFTON CENTRAL SCHOOL
Entity Type:Organization
Organization Name:AFTON CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:MS
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:607-639-8229
Mailing Address - Street 1:29 ACADEMY STREET
Mailing Address - Street 2:P.O. BOX 5
Mailing Address - City:AFTON
Mailing Address - State:NY
Mailing Address - Zip Code:13730-0005
Mailing Address - Country:US
Mailing Address - Phone:607-639-8229
Mailing Address - Fax:607-639-1801
Practice Address - Street 1:29 ACADEMY STREET
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:NY
Practice Address - Zip Code:13730-0005
Practice Address - Country:US
Practice Address - Phone:607-639-8229
Practice Address - Fax:607-639-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-28
Last Update Date:2007-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01378894Medicaid