# ORANGE FAMILY HEALTH NP PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770086787
- **Authorized official:** KIMBERLY JACKSON FNP (OWNER)
- **Authorized official phone:** (914) 260-8087

## Contact information

- **Practice address:** 31 WEBER HILL RD, MAHOPAC, NY 10541-1829
- **Practice address phone:** (914) 260-8087
- **Mailing address:** 31 WEBER HILL RD, MAHOPAC, NY 10541-1829

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | 336506 | NY | Yes |

## Other

- **Enumeration date:** 03/15/2018
- **Last updated:** 03/15/2018