Provider Demographics
NPI:1053528034
Name:ORABY, PHILIP GEORGE (MA,MED)
Entity type:Individual
Prefix:MR
First Name:PHILIP
Middle Name:GEORGE
Last Name:ORABY
Suffix:
Gender:M
Credentials:MA,MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 WASHBURN RD
Mailing Address - Street 2:
Mailing Address - City:BRIARCLIFF MANOR
Mailing Address - State:NY
Mailing Address - Zip Code:10510-1816
Mailing Address - Country:US
Mailing Address - Phone:914-762-3716
Mailing Address - Fax:914-945-0287
Practice Address - Street 1:14 E 73RD ST
Practice Address - Street 2:SUITE 5A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10021-4128
Practice Address - Country:US
Practice Address - Phone:212-472-1207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY000199106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000199 MARRIAGE ANDOtherNEW YORK STATE LICENSE