Organization
COUNTY OF ORANGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER L ROMAN DO (ACTING COMMISSIONER OF HEALTH)
(845) 360-6600
Entity
Organization
Contact information
Practice address
124 MAIN STREET, GOSHEN, NY 10924-2199
(845) 291-2332
(845) 291-2341
Mailing address
124 MAIN STREET, GOSHEN, NY 10924-2199
(845) 291-2332
(845) 291-2341
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3523600
NY
251K00000X
Public Health or Welfare Agency
3501200R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02996445
—
NY
Enumeration date
05/21/2007
Last updated
12/17/2024
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