Healthcare Provider Details

I. General information

NPI: 1467741793
Provider Name (Legal Business Name): ORANGE CTNY DEPT. OF HEALTH EICM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2011
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

124 MAIN STREET
GOSHEN NY
10924-2124
US

IV. Provider business mailing address

124 MAIN ST
GOSHEN NY
10924-2133
US

V. Phone/Fax

Practice location:
  • Phone: 845-360-6600
  • Fax: 845-291-2341
Mailing address:
  • Phone: 845-360-6600
  • Fax: 845-291-2341

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number
License Number State

VIII. Authorized Official

Name: ELIZABETH GIORDANO
Title or Position: DEPUTY COMMISSIONER OF HEALTH
Credential:
Phone: 845-360-6627