Provider Demographics
NPI:1851714968
Name:CATTARAUGUS-LITTLE VALLEY CENTRAL SCHOOL
Entity Type:Organization
Organization Name:CATTARAUGUS-LITTLE VALLEY CENTRAL SCHOOL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SYKES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:716-257-3483
Mailing Address - Street 1:25 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:CATTARAUGUS
Mailing Address - State:NY
Mailing Address - Zip Code:14719-1105
Mailing Address - Country:US
Mailing Address - Phone:716-257-3483
Mailing Address - Fax:716-257-5108
Practice Address - Street 1:25 N FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:CATTARAUGUS
Practice Address - State:NY
Practice Address - Zip Code:14719-1105
Practice Address - Country:US
Practice Address - Phone:716-257-3483
Practice Address - Fax:716-257-5108
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-24
Last Update Date:2014-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY317712-1302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7162573483Medicaid