Provider Demographics
NPI:1770637092
Name:CITY SCHOOL DISTRICT OF ALBANY
Entity Type:Organization
Organization Name:CITY SCHOOL DISTRICT OF ALBANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OPERATIONS
Authorized Official - Prefix:MS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:PRIMERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-475-6025
Mailing Address - Street 1:1 ACADEMY PARK
Mailing Address - Street 2:ELK STREET
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12202
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1 ACADEMY PARK
Practice Address - Street 2:ELK STREET
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12202
Practice Address - Country:US
Practice Address - Phone:518-475-6020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01390385Medicaid