Organization
ALEXANDRIA CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS BRIANNE R KIRCHOFF (BUSINESS MANAGER)
(315) 482-9971
Entity
Organization
Contact information
Practice address
34 BOLTON AVE, ALEXANDRIA BAY, NY 13607-1603
(315) 482-9971
(315) 482-9973
Mailing address
34 BOLTON AVE, ALEXANDRIA BAY, NY 13607-1603
(315) 482-9971
(315) 482-9973
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01423798
—
NY
Enumeration date
01/10/2007
Last updated
03/24/2015
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