Healthcare Provider Details

I. General information

NPI: 1043378151
Provider Name (Legal Business Name): ORANGE URGENT CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 01/10/2023
Certification Date: 01/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 CRYSTAL RUN RD SUITE G40
MIDDLETOWN NY
10941-7000
US

IV. Provider business mailing address

75 CRYSTAL RUN RD SUITE G40
MIDDLETOWN NY
10941-7000
US

V. Phone/Fax

Practice location:
  • Phone: 845-703-2273
  • Fax: 845-703-2276
Mailing address:
  • Phone: 845-703-2273
  • Fax: 845-703-2276

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANTHONY R RUVO
Title or Position: AUTHORIZED MEMBER
Credential:
Phone: 845-565-3700