Provider Demographics
NPI:1730246059
Name:WEST IRONDEQUOIT CENTRAL SCHOOL DISTRICT
Entity type:Organization
Organization Name:WEST IRONDEQUOIT CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASST. SUPT. FOR BUSINESS PERSONNEL
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:G
Authorized Official - Last Name:DOMM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-336-2993
Mailing Address - Street 1:321 LIST AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14617-3125
Mailing Address - Country:US
Mailing Address - Phone:585-336-2993
Mailing Address - Fax:585-336-2975
Practice Address - Street 1:350 COOPER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14617-3009
Practice Address - Country:US
Practice Address - Phone:585-336-3055
Practice Address - Fax:585-336-3072
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
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
NY01411572Medicare ID - Type Unspecified