Healthcare Provider Details

I. General information

NPI: 1932259728
Provider Name (Legal Business Name): TOWNS OF DOVER AMENIA WASHINGTON & UNIONVALE UNION FREE SCHOOL BOARD O
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 04/15/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2368 ROUTE 22
DOVER PLAINS NY
12522-6700
US

IV. Provider business mailing address

2368 ROUTE 22
DOVER PLAINS NY
12522-6700
US

V. Phone/Fax

Practice location:
  • Phone: 845-877-5760
  • Fax: 845-877-5761
Mailing address:
  • Phone: 845-877-5760
  • Fax: 845-877-5761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER PRILL
Title or Position: ASST SUPERINTENDENT OF BUSINESS AFF
Credential:
Phone: 845-877-5700