Healthcare Provider Details

I. General information

NPI: 1417193525
Provider Name (Legal Business Name): HAMASPIK OF ORANGE COUNTY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2008
Last Update Date: 01/12/2023
Certification Date: 01/12/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HAMSPIK WAY
MONROE NY
10950-8452
US

IV. Provider business mailing address

1 HAMASPIK WAY THIRD FLOOR
MONROE NY
10950
US

V. Phone/Fax

Practice location:
  • Phone: 845-774-8400
  • Fax: 845-783-2107
Mailing address:
  • Phone: 845-774-8400
  • Fax: 845-774-0384

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225CA2500X
TaxonomyAssistive Technology Supplier Rehabilitation Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License NumberSP020838
License Number StateNY

VIII. Authorized Official

Name: MR. MOSES WERTHEIMER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 845-774-8400