1043504640 NPI number — WAPPINGERS CENTRAL SCHOOL DISTRICT

Table of content: DR. CHARLES R. WILLIAMS DC (NPI 1154463644)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043504640 NPI number — WAPPINGERS CENTRAL SCHOOL DISTRICT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WAPPINGERS CENTRAL SCHOOL DISTRICT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043504640
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/01/2011
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1103 BEEKMAN RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOPEWELL JCT
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
12533-5509
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-227-4992
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
16 WEDGEWOOD RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FISHKILL
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
12524-1432
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-897-6800
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/01/2011

Additional Information

Authorized Official

Authorized Official Last Name:
PELLICANO
Authorized Official First Name:
HOPE
Authorized Official Middle Name:
JACQUELINE
Authorized Official Title or Position:
TEACHER OF THE SPEECH AND HEARING H
Authorized Official Telephone Number:
845-897-6800

Provider Taxonomy Codes

  • Taxonomy code: 174H00000X , with the licence number:  411385921 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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