Provider Demographics
NPI:1013284330
Name:WAPPINGERS CENTRAL SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WAPPINGERS CENTRAL SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DE NOTA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-298-5240
Mailing Address - Street 1:747 OLD ROUTE 9 N
Mailing Address - Street 2:
Mailing Address - City:WAPPINGERS FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:12590-4070
Mailing Address - Country:US
Mailing Address - Phone:845-298-5240
Mailing Address - Fax:845-298-5232
Practice Address - Street 1:747 OLD ROUTE 9 N
Practice Address - Street 2:
Practice Address - City:WAPPINGERS FALLS
Practice Address - State:NY
Practice Address - Zip Code:12590-4070
Practice Address - Country:US
Practice Address - Phone:845-298-5240
Practice Address - Fax:845-298-5232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-01
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY500717302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY422832Medicaid