Healthcare Provider Details

I. General information

NPI: 1235264151
Provider Name (Legal Business Name): MRS. ORANIA LABONTE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

76 FIREMENS WAY
POUGHKEEPSIE NY
12603-6519
US

IV. Provider business mailing address

376 CLINTON HOLLOW RD
SALT POINT NY
12578-2012
US

V. Phone/Fax

Practice location:
  • Phone: 845-452-9220
  • Fax: 845-454-2701
Mailing address:
  • Phone: 845-266-4099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number0022431
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: