Provider Demographics
NPI:1619051562
Name:OROFINO, MICHAEL JOHN (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOHN
Last Name:OROFINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:141 S CENTRAL AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:HARTSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10530-2340
Mailing Address - Country:US
Mailing Address - Phone:914-793-5588
Mailing Address - Fax:
Practice Address - Street 1:141 S CENTRAL AVE STE 205
Practice Address - Street 2:
Practice Address - City:HARTSDALE
Practice Address - State:NY
Practice Address - Zip Code:10530-2340
Practice Address - Country:US
Practice Address - Phone:914-793-5588
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY153655207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000000040125OtherGHI HMO
NY07D90OtherEMPIRE BLUE CROSS
NY428724OtherUNITED HEALTHCARE
NYP461045OtherOXFORD
NY00838440Medicaid
NY141656999OtherLOCAL 60
NY90694OtherAETNA HMO
NY0298053OtherGHI
NY4224279OtherAETNA PPO/POS
NY07D901Medicare ID - Type Unspecified