MEDICARE: WAPPINGERS CENTRAL SCHOOL DISTRICT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251300000X	Local Education Agency (LEA)	22323675	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558639369
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WAPPINGERS CENTRAL SCHOOL DISTRICT

Provider Business Mailing Address
First Line	:	17 LAKE WALTON RD
Second Line	:
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-6309
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17 LAKE WALTON RD
Second Line	:
City	:	WAPPINGERS FALLS
State	:	NY
Zip	:	12590-6309
Country	:	US
Telephone Number	:	845-227-1770
Fax Number	:

Authorized Official
Title or Position	:	R.N.
Name	:	MRS. PHYLLIS FLAHERTY
Credential	:
Telephone Number	:	845-227-1770

Provider Enumeration Date	:	12/07/2011
Last Update Date	:	12/07/2011

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Directions to “WAPPINGERS CENTRAL SCHOOL DISTRICT ” Practice Location

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