Healthcare Provider Details

I. General information

NPI: 1063559656
Provider Name (Legal Business Name): WESTPORT CENTRAL SCHOOL DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2007
Last Update Date: 07/08/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 SISCO STREET
WESTPORT NY
12993
US

IV. Provider business mailing address

25 SISCO STREET
WESTPORT NY
12993
US

V. Phone/Fax

Practice location:
  • Phone: 518-962-8244
  • Fax: 518-962-4571
Mailing address:
  • Phone: 518-962-8244
  • Fax: 518-962-4571

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: MRS. KAREN TROMBLEE
Title or Position: SUPERINTENDENT
Credential:
Phone: 518-962-8244