Provider Demographics
NPI:1770620809
Name:NIAGARA WHEATFIELD CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:NIAGARA WHEATFIELD CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LENORE
Authorized Official - Middle Name:B
Authorized Official - Last Name:LUCIANO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-215-3012
Mailing Address - Street 1:6700 SCHULTZ ST
Mailing Address - Street 2:OFFICE OF SPECIAL PROGRAMS
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-4531
Mailing Address - Country:US
Mailing Address - Phone:716-215-3012
Mailing Address - Fax:
Practice Address - Street 1:6700 SCHULTZ ST
Practice Address - Street 2:OFFICE OF SPECIAL PROGRAMS
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14304-4531
Practice Address - Country:US
Practice Address - Phone:716-215-3012
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
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
NY01391015Medicaid