Provider Demographics
NPI:1598973596
Name:COUNTY OF ORANGE
Entity Type:Organization
Organization Name:COUNTY OF ORANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMISSIONER OF HEALTH
Authorized Official - Prefix:DR
Authorized Official - First Name:ALICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:POINTER
Authorized Official - Suffix:
Authorized Official - Credentials:DO, MPH, FAAP
Authorized Official - Phone:845-360-6603
Mailing Address - Street 1:124 MAIN STREET
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-2199
Mailing Address - Country:US
Mailing Address - Phone:845-291-2332
Mailing Address - Fax:845-291-2341
Practice Address - Street 1:124 MAIN STREET
Practice Address - Street 2:
Practice Address - City:GOSHEN
Practice Address - State:NY
Practice Address - Zip Code:10924-2199
Practice Address - Country:US
Practice Address - Phone:845-291-2332
Practice Address - Fax:845-291-2341
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2024-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY3523600251E00000X, 251E00000X
NY3501200R251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00901437Medicaid
NY01288691Medicaid
NY02996445Medicaid
NY00473198Medicaid