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Organization
ORANGETOWN FAMILY PRACTICE
Active
Organization
ORANGETOWN FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VINCENT M IBELLI MD (PARTNER)
(845) 359-5005
Entity
Organization
Contact information
Practice address
97 ROUTE 303, TAPPAN, NY 10983-2514
(845) 359-5005
Mailing address
97 ROUTE 303, TAPPAN, NY 10983-2514
(845) 359-5005
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
167148-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE2055
RAILROAD MEDICARE GROUP #
NY
Enumeration date
06/02/2006
Last updated
07/02/2009
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