Healthcare Provider Details

I. General information

NPI: 1205899135
Provider Name (Legal Business Name): ORANGE RADIOLOGY ASSOCIATES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/11/2006
Last Update Date: 12/23/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 ROUTE 208
MONROE NY
10950-1608
US

IV. Provider business mailing address

320 ROBINSON AVE
NEWBURGH NY
12550-3353
US

V. Phone/Fax

Practice location:
  • Phone: 845-783-3444
  • Fax: 845-783-9561
Mailing address:
  • Phone: 845-565-1989
  • Fax: 845-863-0072

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. LEWIS M BOBROFF
Title or Position: PRESIDENT
Credential: M.D.
Phone: 845-368-5000