Provider Demographics
NPI:1841241783
Name:ORLANSKI, RONIT E (RPAC)
Entity Type:Individual
Prefix:MRS
First Name:RONIT
Middle Name:E
Last Name:ORLANSKI
Suffix:
Gender:F
Credentials:RPAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6122 FRESH POND RD # G
Mailing Address - Street 2:
Mailing Address - City:MIDDLE VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11379-1005
Mailing Address - Country:US
Mailing Address - Phone:718-502-3000
Mailing Address - Fax:
Practice Address - Street 1:6122 FRESH POND RD # G
Practice Address - Street 2:G
Practice Address - City:MIDDLE VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11379-1005
Practice Address - Country:US
Practice Address - Phone:718-502-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-15
Last Update Date:2015-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007844 1363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY007844 1OtherLICENSE
NY5F7221Medicare ID - Type Unspecified