Provider Demographics
NPI:1295884914
Name:NEW YORK DEPARTMENT EDUCATION GENESEO CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:NEW YORK DEPARTMENT EDUCATION GENESEO CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEA/CSE ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:FLOWERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-243-3450
Mailing Address - Street 1:4050 AVON RD
Mailing Address - Street 2:
Mailing Address - City:GENESEO
Mailing Address - State:NY
Mailing Address - Zip Code:14454-9721
Mailing Address - Country:US
Mailing Address - Phone:585-243-3450
Mailing Address - Fax:585-243-9481
Practice Address - Street 1:4050 AVON RD
Practice Address - Street 2:SPECIAL ED OFFICE
Practice Address - City:GENESEO
Practice Address - State:NY
Practice Address - Zip Code:14454-9721
Practice Address - Country:US
Practice Address - Phone:585-243-3450
Practice Address - Fax:585-243-0597
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1369406Medicaid