| Orange Medical Care Pc | |
|
313 S William St Newburgh NY 12550-5387 | |
| (845) 569-9662 | |
| (845) 561-5525 |
| Full Name | Orange Medical Care Pc |
|---|---|
| Speciality | Pediatrics |
| Location | 313 S William St, Newburgh, New York |
| Authorized Official Name and Position | Ashikkumar A Raval (OWNER) |
| Authorized Official Contact | 8455699662 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Medical Care Pc 313 S William St Newburgh NY 12550-5387 Ph: (845) 569-9662 | Orange Medical Care Pc 313 S William St Newburgh NY 12550-5387 Ph: (845) 569-9662 |
| NPI Number | 1033204888 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 08/13/2020 |
| Medicare PECOS PAC ID | 9032133061 |
|---|---|
| Medicare Enrollment ID | O20090731000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033204888 | NPI | - | NPPES |
| Provider Name | Ashikkumar Ambalal Raval |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871688713 PECOS PAC ID: 0446271423 Enrollment ID: I20051219000424 |
| Provider Name | Manish Raval |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609961952 PECOS PAC ID: 6507888591 Enrollment ID: I20051219000523 |
| Provider Name | Meleta M Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023116746 PECOS PAC ID: 7719996115 Enrollment ID: I20060412000656 |
| Provider Name | Mehulkumar A Raval |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831378801 PECOS PAC ID: 9830411230 Enrollment ID: I20141212001437 |
| Provider Name | Ketul P Vora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891126330 PECOS PAC ID: 0749509347 Enrollment ID: I20150504000652 |
| Provider Name | Medina B Vernon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346647724 PECOS PAC ID: 3173896784 Enrollment ID: I20170901002139 |
| Provider Name | Erin-marie Kernan-hobart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821579525 PECOS PAC ID: 8527309335 Enrollment ID: I20190404000759 |
| Provider Name | Emily Alsdorf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285038026 PECOS PAC ID: 6406289495 Enrollment ID: I20191205000791 |
| Provider Name | Lori Musorrafiti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992239180 PECOS PAC ID: 0143642322 Enrollment ID: I20200616002103 |
| Provider Name | Suzanne Corrado |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1902816861 PECOS PAC ID: 8820091887 Enrollment ID: I20200908002345 |
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