Organization
ORANGE COUNTY NP IN PSYCHIATRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE DONGMO MEKONTCHOU (PROVIDER/OWNER)
(347) 898-0813
Entity
Organization
Contact information
Practice address
45 ST JOHN ST, GOSHEN, NY 10924-1518
(347) 898-0813
Mailing address
45 ST JOHN ST, GOSHEN, NY 10924-1518
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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