Provider Demographics
NPI:1811048382
Name:WAYLAND-COHOCTON CSD
Entity type:Organization
Organization Name:WAYLAND-COHOCTON CSD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:FEINMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-728-2211
Mailing Address - Street 1:2350 STATE ROUTE 63
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:NY
Mailing Address - Zip Code:14572
Mailing Address - Country:US
Mailing Address - Phone:585-728-9547
Mailing Address - Fax:585-728-2217
Practice Address - Street 1:2350 STATE ROUTE 63
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:NY
Practice Address - Zip Code:14572
Practice Address - Country:US
Practice Address - Phone:585-728-9547
Practice Address - Fax:585-728-2217
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-13
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01383417Medicaid