Provider Demographics
NPI:1932259728
Name:TOWNS OF DOVER AMENIA WASHINGTON & UNIONVALE UNION FREE SCHOOL BOARD O
Entity Type:Organization
Organization Name:TOWNS OF DOVER AMENIA WASHINGTON & UNIONVALE UNION FREE SCHOOL BOARD O
Other - Org Name:DOVER UNION FREE SCHOOL DISTRICT
Other - Org Type:Other Name
Authorized Official - Title/Position:ASST SUPERINTENDENT OF BUSINESS AFF
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PRILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-877-5700
Mailing Address - Street 1:2368 ROUTE 22
Mailing Address - Street 2:
Mailing Address - City:DOVER PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:12522-6700
Mailing Address - Country:US
Mailing Address - Phone:845-877-5760
Mailing Address - Fax:845-877-5761
Practice Address - Street 1:2368 ROUTE 22
Practice Address - Street 2:
Practice Address - City:DOVER PLAINS
Practice Address - State:NY
Practice Address - Zip Code:12522-6700
Practice Address - Country:US
Practice Address - Phone:845-877-5760
Practice Address - Fax:845-877-5761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2015-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01395266Medicaid