Provider Demographics
NPI:1457620460
Name:WAINSCOTT COMMON SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WAINSCOTT COMMON SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT OF SCHOOLS
Authorized Official - Prefix:DR
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:RACHLIN
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:631-537-1080
Mailing Address - Street 1:PO BOX 79
Mailing Address - Street 2:47 MAIN STREET
Mailing Address - City:WAINSCOTT
Mailing Address - State:NY
Mailing Address - Zip Code:11975
Mailing Address - Country:US
Mailing Address - Phone:631-537-1080
Mailing Address - Fax:
Practice Address - Street 1:47 MAIN STREET
Practice Address - Street 2:
Practice Address - City:WAINSCOTT
Practice Address - State:NY
Practice Address - Zip Code:11975
Practice Address - Country:US
Practice Address - Phone:631-537-1080
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-20
Last Update Date:2011-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY25251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY251300000XMedicaid