Organization
MEXICO ACADEMY AND CENTRAL SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JACALYN N. BATES CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(315) 334-2845
Entity
Organization
Contact information
Practice address
16 FRAVOR RD, MEXICO, NY 13114-3011
(315) 963-8400
Mailing address
16 FRAVOR RD, MEXICO, NY 13114-3011
(315) 963-8400
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01366949
—
NY
Enumeration date
03/15/2011
Last updated
03/15/2011
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