MEDICARE: ORANGE RADIOLOGY ASSOCIATES, P.C.

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	2085R0202X	Diagnostic Radiology Physician

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	:	1205899135
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORANGE RADIOLOGY ASSOCIATES, P.C.

Provider Business Mailing Address
First Line	:	320 ROBINSON AVE
Second Line	:
City	:	NEWBURGH
State	:	NY
Zip	:	12550-3353
Country	:	US
Telephone Number	:	845-565-1989
Fax Number	:	845-863-0072

Provider Business Practice Location Address
First Line	:	505 ROUTE 208
Second Line	:
City	:	MONROE
State	:	NY
Zip	:	10950-1608
Country	:	US
Telephone Number	:	845-783-3444
Fax Number	:	845-783-9561

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LEWIS M BOBROFF
Credential	:	M.D.
Telephone Number	:	845-368-5000

Provider Enumeration Date	:	04/11/2006
Last Update Date	:	12/23/2008

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