Provider Demographics
NPI:1881068054
Name:EAST IRONDEQUOIT CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:EAST IRONDEQUOIT CENTRAL SCHOOL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARYBETH
Authorized Official - Middle Name:
Authorized Official - Last Name:GALEWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-339-1404
Mailing Address - Street 1:600 PARDEE RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-2810
Mailing Address - Country:US
Mailing Address - Phone:585-339-1404
Mailing Address - Fax:585-339-1439
Practice Address - Street 1:600 PARDEE RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-2810
Practice Address - Country:US
Practice Address - Phone:585-339-1404
Practice Address - Fax:585-339-1439
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-25
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY501114314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility