MEDICARE: NEW ORLEANS CHARTER SCIENCE AND MATH ACADEMY

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)

General Provider Information

NPI Number	:	1740744077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW ORLEANS CHARTER SCIENCE AND MATH ACADEMY

Provider Business Mailing Address
First Line	:	3819 HERSCHEL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114
Country	:	US
Telephone Number	:	504-352-6438
Fax Number	:

Provider Business Practice Location Address
First Line	:	3819 HERSCHEL ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114
Country	:	US
Telephone Number	:	504-352-6438
Fax Number	:

Authorized Official
Title or Position	:	MANAGING DIRECTOR OF OPERATIONS
Name	:	MR. JUSTIN PICKEL
Credential	:
Telephone Number	:	504-352-6438

Provider Enumeration Date	:	01/31/2019
Last Update Date	:	01/31/2019

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