Provider Demographics
NPI:1033204888
Name:ORANGE MEDICAL CARE PC
Entity Type:Organization
Organization Name:ORANGE MEDICAL CARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASHIKKUMAR
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAVAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-569-9662
Mailing Address - Street 1:313 S WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12550-5387
Mailing Address - Country:US
Mailing Address - Phone:845-569-9662
Mailing Address - Fax:845-561-5525
Practice Address - Street 1:313 S WILLIAM ST
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:NY
Practice Address - Zip Code:12550-5387
Practice Address - Country:US
Practice Address - Phone:845-569-9662
Practice Address - Fax:845-561-5525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001584207R00000X, 2080A0000X
NY2073982080A0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty