Organization
WATERLOO CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA S JOHNSON (SBA)
(315) 539-1510
Entity
Organization
Contact information
Practice address
109 WASHINGTON ST, WATERLOO, NY 13165-1835
(315) 539-1510
(315) 539-1599
Mailing address
109 WASHINGTON ST, WATERLOO, NY 13165-1835
(315) 539-1510
(315) 539-1599
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01383384
—
NY
Enumeration date
01/03/2007
Last updated
08/22/2020
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