Healthcare Provider Details

I. General information

NPI: 1306762729
Provider Name (Legal Business Name): ORANGE COUNTY NUTRITIONAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 KOMARNA WAY UNIT 201
KIRYAS JOEL NY
10950-4820
US

IV. Provider business mailing address

3 KOMARNA WAY UNIT 201
KIRYAS JOEL NY
10950-4820
US

V. Phone/Fax

Practice location:
  • Phone: 845-248-6948
  • Fax:
Mailing address:
  • Phone: 845-248-6948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. JACOB FREUND
Title or Position: CEO
Credential:
Phone: 845-248-6948