Organization
ORANGE COUNTY INNOVATORS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HARRY KEVIN BONSU (PRESIDENT)
(917) 363-0329
Entity
Organization
Contact information
Practice address
1717 ROUTE 17M, GOSHEN, NY 10924-2526
(917) 363-0329
Mailing address
41 BREWSTER DR, MIDDLETOWN, NY 10940-6022
(917) 363-0329
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
07/27/2017
Last updated
07/27/2017
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