Organization
MAHOPAC CSD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREG STOWELL D.P.S. (ASSISTANT SUPERINTENDENT FOR P.P.S.)
(845) 621-0656
Entity
Organization
Contact information
Practice address
179 E LAKE BLVD, MAHOPAC, NY 10541-1601
(845) 628-3415
(845) 628-0261
Mailing address
179 E LAKE BLVD, MAHOPAC, NY 10541-1601
(845) 628-3415
(845) 628-0261
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01453516
—
NY
Enumeration date
01/17/2007
Last updated
03/03/2015
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