1780863308 NPI number — DOBBS FERRY UNION FREE SD

Table of content: (NPI 1780863308)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780863308 NPI number — DOBBS FERRY UNION FREE SD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DOBBS FERRY UNION FREE SD
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:
1780863308
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/25/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
505 BROADWAY
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DOBBS FERRY
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10522
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
914-693-1500
Provider Business Mailing Address Fax Number:
914-693-5952

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
175 WALGROVE AVE.
Provider Second Line Business Practice Location Address:
C/O SPRINGHURST ELEMENTARY SCHOOL - OFFICE OF SPEC ED
Provider Business Practice Location Address City Name:
DOBBS FERRY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10522
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
914-693-5899
Provider Business Practice Location Address Fax Number:
914-693-3128
Provider Enumeration Date:
10/31/2007

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
VREDENBURGH
Authorized Official First Name:
ERIN
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR OF SPECIAL ED.
Authorized Official Telephone Number:
914-693-5899

Provider Taxonomy Codes

  • Taxonomy code: 251300000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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