Maryvale School System

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

012019 Issued in NY

Legal business name

MARYVALE SCHOOL SYSTEM

Practice address

423 Downing St
Buffalo, NY 14220-2745

Phone

(716) 824-7112

NPI assigned

Aug 30, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Colleen Mary Smith, M.S. CCC-SLP

Title

Speech Pathologist

Phone

(716) 517-6406

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346284800000",
    "number": "1760731269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 DOWNING ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202745",
            "telephone_number": "716-824-7112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "423 DOWNING ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142202745",
            "telephone_number": "716-824-7112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYVALE SCHOOL SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "716-517-6406",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "012019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giulia Michela Martone, M.D.
• Ashley Elizabeth Martucci, FNP-BC, MSN
• Anuritha Reddy Marumganti, M.D.
• Mary Agnes Manor
• Jyotsna Mary George, MD
• John M Marzo, M.D.
• Georgia Marzullo, LMSW
• Shannon D Marzullo, ANP
• Stephanie Marzullo
• Sylvia Marzullo, PT OCS

• Local Education Agency (LEA) in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; 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.