NPIMap

Organization Active NPI

East Syracuse Minoa CSD

  • Health Educator
  • East Syracuse, NY
National Provider Identifier
1033499009
Registry record updated Aug 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
4194 Issued in NY
Legal business name
EAST SYRACUSE MINOA CSD
Practice address
407 Fremont Rd
East Syracuse, NY 13057-2696
Phone
(315) 434-3050
NPI assigned
Aug 23, 2011
Last updated
Aug 23, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Sheila Tufankjian
Title
Executive Director of School Busine
Phone
(315) 434-3002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X 4194 NY Primary

Addresses

Primary practice location

407 Fremont Rd
East Syracuse, NY 13057-2696

Mailing address

407 Fremont Rd
East Syracuse, NY 13057-2696
Phone (315) 434-3002

National Provider Directory

National Provider Directory
Tax ID family
East Syracuse Minoa CSD4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314057600000",
    "number": "1033499009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 FREMONT RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572696",
            "telephone_number": "315-434-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 FREMONT RD",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130572696",
            "telephone_number": "315-434-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SYRACUSE MINOA CSD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-23",
        "last_updated": "2011-08-23",
        "status": "A",
        "authorized_official_last_name": "TUFANKJIAN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR OF SCHOOL BUSINE",
        "authorized_official_telephone_number": "315-434-3002",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": "NY",
            "license": "4194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.