MEDICARE: ROCKLAND COUNTY HEALTH DEPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251K00000X	Public Health or Welfare Agency	4353200R	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023106762
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROCKLAND COUNTY HEALTH DEPT

Provider Business Mailing Address
First Line	:	50 SANATORIUM RD BLDG D
Second Line	:
City	:	POMONA
State	:	NY
Zip	:	10970-3555
Country	:	US
Telephone Number	:	845-364-2192
Fax Number	:	845-364-2628

Provider Business Practice Location Address
First Line	:	50 SANATORIUM RD BLDG D
Second Line	:
City	:	POMONA
State	:	NY
Zip	:	10970-3555
Country	:	US
Telephone Number	:	845-364-2192
Fax Number	:	845-364-2628

Authorized Official
Title or Position	:	FISCAL ADMINISTRATOR
Name	:	DONNA MARIE O'SHEA
Credential	:	MBA
Telephone Number	:	845-364-2615

Provider Enumeration Date	:	10/10/2006
Last Update Date	:	04/20/2026

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Directions to “ROCKLAND COUNTY HEALTH DEPT ” Practice Location

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