Healthcare Provider Details

I. General information

NPI: 1053451419
Provider Name (Legal Business Name): ORANGE CARDIOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 HATFIELD LN SUITE 203
GOSHEN NY
10924-6734
US

IV. Provider business mailing address

70 HATFIELD LN SUITE 203
GOSHEN NY
10924-6734
US

V. Phone/Fax

Practice location:
  • Phone: 845-294-7700
  • Fax: 845-294-5363
Mailing address:
  • Phone: 845-294-7700
  • Fax: 845-294-5363

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberNY198845
License Number StateNY

VIII. Authorized Official

Name: MRS. TONIA TAYLOR
Title or Position: OFFICE MANAGER
Credential:
Phone: 845-294-7700