Provider Demographics
NPI:1205985330
Name:NIAGARA FALLS CITY SCHOOL DISTRICT
Entity type:Organization
Organization Name:NIAGARA FALLS CITY SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TEACHER ON SPECIAL ASSIGNMENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KUZNIK
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:716-286-4287
Mailing Address - Street 1:630 66TH STREET
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304
Mailing Address - Country:US
Mailing Address - Phone:716-286-4287
Mailing Address - Fax:716-286-4203
Practice Address - Street 1:630 66TH STREET
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304
Practice Address - Country:US
Practice Address - Phone:716-286-4287
Practice Address - Fax:716-286-4203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01364612Medicaid