Provider Demographics
NPI:1053451419
Name:ORANGE CARDIOLOGY, PLLC
Entity Type:Organization
Organization Name:ORANGE CARDIOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONIA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-294-7700
Mailing Address - Street 1:70 HATFIELD LN
Mailing Address - Street 2:SUITE 203
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-6734
Mailing Address - Country:US
Mailing Address - Phone:845-294-7700
Mailing Address - Fax:845-294-5363
Practice Address - Street 1:70 HATFIELD LN
Practice Address - Street 2:SUITE 203
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-6734
Practice Address - Country:US
Practice Address - Phone:845-294-7700
Practice Address - Fax:845-294-5363
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY198845174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYWFJ451Medicare ID - Type UnspecifiedMCR GROUP ID#