Provider Demographics
NPI:1801949318
Name:BOARD OF EDUCATION
Entity type:Organization
Organization Name:BOARD OF EDUCATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF SPECIAL EDUCATION
Authorized Official - Prefix:MS
Authorized Official - First Name:ROCHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-592-3256
Mailing Address - Street 1:307 NEWMAN ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14141-1517
Mailing Address - Country:US
Mailing Address - Phone:716-592-3231
Mailing Address - Fax:716-592-3412
Practice Address - Street 1:307 NEWMAN ST
Practice Address - Street 2:
Practice Address - City:SPRINGVILLE
Practice Address - State:NY
Practice Address - Zip Code:14141-1517
Practice Address - Country:US
Practice Address - Phone:716-592-3231
Practice Address - Fax:716-592-3412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01383233Medicaid