Provider Demographics
NPI:1053918904
Name:ORANGE MEDICAL ASSOCIATES, LLP
Entity type:Organization
Organization Name:ORANGE MEDICAL ASSOCIATES, LLP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOANNA
Authorized Official - Middle Name:BARBARA
Authorized Official - Last Name:BOCHENEK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-343-0728
Mailing Address - Street 1:400 MIDWAY PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940
Mailing Address - Country:US
Mailing Address - Phone:845-343-0728
Mailing Address - Fax:845-343-2087
Practice Address - Street 1:400 MIDWAY PARK DRIVE
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940
Practice Address - Country:US
Practice Address - Phone:845-343-0728
Practice Address - Fax:845-343-2087
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-05
Last Update Date:2021-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Single Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty