Healthcare Provider Details

I. General information

NPI: 1043523970
Provider Name (Legal Business Name): MOUNT VERNON PUBLIC SCHOOL SYSTEM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2010
Last Update Date: 07/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 N COLUMBUS AVE
MOUNT VERNON NY
10553-1101
US

IV. Provider business mailing address

22 PARK PL
MOUNT VERNON NY
10552-2321
US

V. Phone/Fax

Practice location:
  • Phone: 914-665-5000
  • Fax:
Mailing address:
  • Phone: 914-668-6541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number00114813-1
License Number StateNY

VIII. Authorized Official

Name: DR. WILLIAM SAWYER
Title or Position: SUPERINTENDENT
Credential:
Phone: 914-665-5000