Dryden CSD

Organization Active NPI Local Education Agency (LEA) · Dryden, NY

NPI 1184771602 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1184771602
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
DRYDEN CSD
Practice address
118 Freeville Road
Dryden, NY 13053
Phone
(607) 844-5361
Fax
(607) 844-4733
NPI assigned
Jan 5, 2007
Organization subpart
No

Authorized official

Name
Teresa Carnrike
Title
Business Manager
Phone
(607) 844-5361

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

118 Freeville Rd
Dryden, NY 13053
Phone (607) 844-8694

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Yes

Addresses

Primary practice location

118 Freeville Road
Dryden, NY 13053

Mailing address

118 Freeville Road
Dryden, NY 13053-0088
Phone (607) 844-5361

Other identifiers

IdentifierTypeStateIssuer
01390454MedicaidNY

Other providers in Dryden, NY

All providers in Dryden, NY · Local Education Agency (LEA) in New York

Sources for this page

Verify at the official NPI Registry.