Doctor Name: | MS. MARYANN CAROL WACHTEL |
NPI Number: | 1275801300 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 2604838 |
Business Practice Address: | 10 Empire State Blvd Castleton, NY - 120339751 |
Business Phone Number: | 5184778771 |
Business Fax Number: | |
Mailing Address: | 14 Baxter Rd, AVERILL PARK |
State: | NY |
Postal Code: | 120182401 |
Phone Number: | 5186745325 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2011 |
NPI Last Update Date: | 12/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251300000X |
License Number: | 2604838 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Local Education Agency (LEA) |
Taxonomy Specialization: | |
Taxonomy Definition: | The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 |