Provider Demographics
NPI:1982758942
Name:SOUTH COLONIE CENTRAL SCHOOLS
Entity Type:Organization
Organization Name:SOUTH COLONIE CENTRAL SCHOOLS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:518-869-3576
Mailing Address - Street 1:102 LORALEE DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12205-2223
Mailing Address - Country:US
Mailing Address - Phone:518-869-3576
Mailing Address - Fax:518-869-6517
Practice Address - Street 1:102 LORALEE DR
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-2223
Practice Address - Country:US
Practice Address - Phone:518-869-3576
Practice Address - Fax:518-869-6517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-23
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01384078Medicaid