Provider Demographics
NPI:1568738607
Name:DEPARTMENT OF EDUCATION
Entity Type:Organization
Organization Name:DEPARTMENT OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SCHOOL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:VERLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-405-1631
Mailing Address - Street 1:2904 EASTCHESTER RD
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10469-3342
Mailing Address - Country:US
Mailing Address - Phone:718-320-1197
Mailing Address - Fax:
Practice Address - Street 1:2441 WALLACE AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-9215
Practice Address - Country:US
Practice Address - Phone:718-325-6593
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-22
Last Update Date:2012-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY482233-1251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)