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Organization

DRYDEN CSD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TERESA CARNRIKE (BUSINESS MANAGER)
(607) 844-5361
Entity
Organization

Contact information

Practice address
118 FREEVILLE ROAD, DRYDEN, NY 13053
(607) 844-5361
(607) 844-4733
Mailing address
118 FREEVILLE ROAD, DRYDEN, NY 13053-0088
(607) 844-5361
(607) 844-4733

Taxonomy

Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01390454
NY
Enumeration date
01/05/2007
Last updated
08/22/2020
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