Healthcare Provider Details

I. General information

NPI: 1063770642
Provider Name (Legal Business Name): WAPPINGERS CENTRAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2012
Last Update Date: 05/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 HILLSIDE LAKE RD
WAPPINGERS FALLS NY
12590-6411
US

IV. Provider business mailing address

167 MYERS CORNERS RD SUITE 200
WAPPINGERS FALLS NY
12590-3869
US

V. Phone/Fax

Practice location:
  • Phone: 845-227-1700
  • Fax:
Mailing address:
  • Phone: 845-298-5000
  • Fax: 845-298-5048

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number797752
License Number StateNY

VIII. Authorized Official

Name: MS. NINA MARIE GEMMA
Title or Position: SPEECH TEACHER
Credential:
Phone: 845-227-1770