| Organization Name: | COBB MEMORIAL SCHOOL |
| NPI Number: | 1366717183 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SUSAN ANN JURON (RN) |
| Mailing Address: | 100 Mt Presentation Way Altamont |
| State: | NY US |
| Postal Code: | 120093443 |
| Phone Number: | 5188616446 |
| Fax Number: | |
| NPI Enumeration Date: | 03/12/2012 |
| NPI Last Update Date: | 03/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | 370099 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |