Organization
ORANGE EMERGENCY SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE S WHITMAN DO (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
707 E MAIN ST, MIDDLETOWN, NY 10940-2650
(845) 333-1000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03443212
—
NY
01
—
A100063945
MEDICARE PIN
NY
01
—
DS4350
RR MEDICARE
NY
Enumeration date
12/28/2011
Last updated
05/11/2021
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