Basic Information
| Provider Information | |||||||||
| NPI: | 1821766403 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | SCHUYLER STEUBEN CHEMUNG TIOGA ALLEGANY BOCES | ||||||||
| LastName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 459 PHILO RD | ||||||||
| Address2: | |||||||||
| City: | ELMIRA | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14903 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077393581 | ||||||||
| FaxNumber: | 6076542304 | ||||||||
| Practice Location | |||||||||
| Address1: | 9579 VOCATIONAL DRIVE | ||||||||
| Address2: | |||||||||
| City: | PAINTED POST | ||||||||
| State: | NY | ||||||||
| PostalCode: | 14870 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6077393581 | ||||||||
| FaxNumber: | 6076542304 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2021 | ||||||||
| LastUpdateDate: | 08/31/2021 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | DALE | ||||||||
| AuthorizedOfficialFirstName: | GREG | ||||||||
| AuthorizedOfficialMiddleName: | |||||||||
| AuthorizedOfficialTitleorPosition: | ASST SUPERINTENDENT FOR FINANCE AND | ||||||||
| AuthorizedOfficialTelephone: | 6077393581 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 08/31/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251300000X | Y | Agencies | Local Education Agency (LEA) |
No ID Information.