Provider Demographics
NPI:1619917325
Name:ISRAELSKI, RONALD H (MD)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:H
Last Name:ISRAELSKI
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 1:30 HATFIELD LN
Mailing Address - Street 2:SUITE 201
Mailing Address - City:GOSHEN
Mailing Address - State:NY
Mailing Address - Zip Code:10924-6766
Mailing Address - Country:US
Mailing Address - Phone:845-294-3446
Mailing Address - Fax:845-294-4171
Practice Address - Street 1:1 RYKOWSKI LN
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10941-4019
Practice Address - Country:US
Practice Address - Phone:845-692-6224
Practice Address - Fax:845-692-7408
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2010-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY182146207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01489252Medicaid
F86581Medicare UPIN
27J182Medicare ID - Type Unspecified