Provider Demographics
NPI:1669696233
Name:FREWSBURG CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:FREWSBURG CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CSE CHAIRPERSON
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:
Authorized Official - Last Name:PULEO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-569-7018
Mailing Address - Street 1:26 INSTITUTE STREET
Mailing Address - Street 2:PO BOX 690
Mailing Address - City:JAMESTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:14738-0690
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:716-569-7007
Practice Address - Street 1:26 INSTITUTE ST
Practice Address - Street 2:
Practice Address - City:FREWSBURG
Practice Address - State:NY
Practice Address - Zip Code:14738-9590
Practice Address - Country:US
Practice Address - Phone:716-569-7000
Practice Address - Fax:716-569-7007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01409058Medicaid