Provider Demographics
NPI:1427019801
Name:ORANGE COUNTY UROLOGICAL ASSOCIATES
Entity Type:Organization
Organization Name:ORANGE COUNTY UROLOGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SCHWALB
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:845-344-1952
Mailing Address - Street 1:12 GROVE ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-4806
Mailing Address - Country:US
Mailing Address - Phone:845-344-1952
Mailing Address - Fax:845-344-0727
Practice Address - Street 1:12 GROVE ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-4806
Practice Address - Country:US
Practice Address - Phone:845-344-1952
Practice Address - Fax:845-344-0727
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-28
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY162928174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01252437Medicaid
NYW24431Medicare PIN
NY01252437Medicaid
66K861Medicare PIN