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Organization

ORANGE FAMILY HEALTH NP PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIMBERLY JACKSON FNP (OWNER)
(914) 260-8087
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
336506
NY

Other

Enumeration date
03/15/2018
Last updated
03/15/2018
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