MEDICARE: ORANGE COUNTY NEWBORN MEDICARE CARE PC

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	208000000X	Pediatrics Physician	231722	NY

General Provider Information

NPI Number	:	1174798433
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORANGE COUNTY NEWBORN MEDICARE CARE PC

Provider Business Mailing Address
First Line	:	3 SAINT STEPHENS PL
Second Line	:	SUITE 2
City	:	WARWICK
State	:	NY
Zip	:	10990-3208
Country	:	US
Telephone Number	:	845-987-9700
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 SAINT STEPHENS PL
Second Line	:	SUITE 2
City	:	WARWICK
State	:	NY
Zip	:	10990-3208
Country	:	US
Telephone Number	:	845-987-9700
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT/MEDICAL DIRECTOR
Name	:	DOMINIC BERLINGIERI
Credential	:	MD
Telephone Number	:	845-987-9700

Provider Enumeration Date	:	04/28/2008
Last Update Date	:	04/28/2008

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