Organization
HERITAGE EDUCATION PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CYNTHIA ANN COSMAN M.S.ED. (SPECIAL EDUCATION TEACHER)
(716) 876-3902
Entity
Organization
Contact information
Practice address
1 DELAWARE RD, KENMORE, NY 14217-2743
(716) 876-3902
(716) 876-3906
Mailing address
3087 EGGERT RD, TONAWANDA, NY 14150-7159
(716) 446-0090
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
126541968
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
17
—
NY
Enumeration date
06/22/2012
Last updated
06/22/2012
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