VASSAR COLLEGE


Address: 124 Raymond Ave, Box 17, Poughkeepsie, NY 12604-0002
Phone: 8454375800

VASSAR COLLEGE (NPI# 1790958643) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790958643
Entity Type Organization
Organization Name VASSAR COLLEGE
Other Organization Name VASSAR COLLEGE HEALTH SERVICE
Practice Address 124 Raymond Ave
Box 17
Poughkeepsie
NY 12604-0002
Mailing Address 124 Raymond Ave
Box 17
Poughkeepsie
NY 12604-0001
Practice Telephone 8454375800
Practice Fax Number 8454377135
Mailing Telephone 8454375800
Mailing Fax Number 8454377135
Enumeration Date 2008-04-10
Last Update Date 2008-04-10
Authorized Official Name DR. IRENA T BALAWAJDER (DIRECTOR OF HEALTH SERVICES)
Authorized Official Telephone 8454375800
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QS1000X Clinic/Center
Specialization: Student Health
150836-1 NY Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Vassar College Health Service Other Name - Individual/Organization

Other Data Sources

Entity Type Entity Name Entity Address
Colorado Business Entities Vassar College 124 Raymond Avenue, Box 737, Poughkeepsie, NY 12604
System for Award Management (SAM) Entities VASSAR COLLEGE STORE 124 Raymond Ave Box 12, Poughkeepsie, NY 12604-0001

Office Location

Street Address 124 RAYMOND AVE
BOX 17
City POUGHKEEPSIE
State NY
Zip Code 12604-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346389509 Jeffrey John Carter Specialist/Technologist 124 Raymond Ave, Poughkeepsie, NY 12604-0001 2007-02-05
1952917544 Marie Murphy Dietitian, Registered 124 Raymond Ave, Poughkeepsie, NY 12604-0001 2020-09-18
1487145082 Christopher M Bledsoe Physical Therapist 124 Raymond Ave, Poughkeepsie, NY 12604-0001 2018-05-21
1841689049 Ian Shultis Specialist/Technologist 124 Raymond Ave, Poughkeepsie, NY 12604-0001 2015-01-12
1083845010 John Mark Craig Physician Assistant 124 Raymond Ave, Poughkeepsie, NY 12604-0001 2009-08-08
1205975109 Yasmin Reid Wilkinson Specialist/Technologist 124 Raymond Ave, Box 750, Poughkeepsie, NY 12604-0750 2007-02-06
1710026984 Courtney Adair Phillips Specialist/Technologist 124 Raymond Ave, Box 750, Poughkeepsie, NY 12604-0001 2007-02-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548635253 Jonathan Rust Psychologist 124 Raymond Ave., 517, Poughkeepsie, NY 12604 2015-12-07
1891286647 Swimming Past The Boundaries Physical Therapist 24 Raymond Ave, Poughkeepsie, NY 12604-0001 2018-05-27
1164812103 Angelina Espiritu Clinic/Center 124 Raymond Ave Box 17, Poughkeepsie, NY 12604-0001 2015-01-29
1871832162 Irena Teresa Balawajder General Practice Vassar College Health Service 124 Raymond Ave, Box 17, Poughkeepsie, NY 12604-0001 2013-02-06
1164050415 Daniel Kim Student in an Organized Health Care Education/Training Program Vassar Brother Medical Center 45 Reade Place, Poughkeepsie, NY 12604-0001 2020-03-31
1487044434 Katherine Prescott Holden Clinic/Center Vassar Student Health Services, Box 017 Vassar College, 124 Raymond Ave., Poughkeepsie, NY 12604-0002 2015-01-29

Taxonomy Information

Taxonomy Code 261QS1000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Student Health

Taxonomy Definition

Definition to come...

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1639635535 Montefiore Medical Center Clinic/Center 1619 Boston Rd, Bronx, NY 10460-4945 2019-02-15
1316412513 Montefiore Medical Center Clinic/Center 1600 Webster Avenue, Room 108, Bronx, NY 10457 2018-10-04
1902392749 Montefiore Medical Center Clinic/Center 1600 Webster Avenue, 1st Floor, Bronx, NY 10457 2018-07-05
1700372687 Montefiore Medical Center Clinic/Center 456 White Plains Rd, Bronx, NY 10473-2436 2018-07-03
1477040566 Montefiore Medical Center Clinic/Center 3710 Barnes Ave, Bronx, NY 10467-5808 2018-04-16
1699287920 Montefiore Medical Center Clinic/Center 1002 Teller Ave, Bronx, NY 10456-6105 2017-10-26
1093253163 Una Jane Victoria Allen Clinic/Center 2811 Queens Plz N # 402, Long Island City, NY 11101-4008 2017-02-08
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Competitor

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City POUGHKEEPSIE
Zip Code 12604

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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