Provider Demographics
NPI:1356408827
Name:EAST ROCHESTER UNION FREE SCHOOL DISTRICT
Entity type:Organization
Organization Name:EAST ROCHESTER UNION FREE SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PUPIL SERVICES
Authorized Official - Prefix:MR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:P
Authorized Official - Last Name:SHURYN
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:585-248-6375
Mailing Address - Street 1:300 WOODBINE AVE
Mailing Address - Street 2:
Mailing Address - City:EAST ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14445-1863
Mailing Address - Country:US
Mailing Address - Phone:585-248-6375
Mailing Address - Fax:585-248-6392
Practice Address - Street 1:300 WOODBINE AVE
Practice Address - Street 2:
Practice Address - City:EAST ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14445-1863
Practice Address - Country:US
Practice Address - Phone:585-248-6375
Practice Address - Fax:585-248-6392
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01419387Medicaid