Healthcare Provider Details

I. General information

NPI: 1568484699
Provider Name (Legal Business Name): POQUOSON CITY PUBLIC SCHOOLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 CITY HALL AVE ROOM 219
POQUOSON VA
23662-1996
US

IV. Provider business mailing address

500 CITY HALL AVE ROOM 219
POQUOSON VA
23662-1996
US

V. Phone/Fax

Practice location:
  • Phone: 757-868-3050
  • Fax: 757-868-3107
Mailing address:
  • Phone: 757-868-3050
  • Fax: 757-868-3107

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. DORIS R. FELTMAN
Title or Position: DIRECTOR OF STUDENT SERVICES
Credential: ED.S.
Phone: 757-868-3050