Provider Demographics
NPI:1891418588
Name:ORANGE, DARIEN
Entity Type:Individual
Prefix:
First Name:DARIEN
Middle Name:
Last Name:ORANGE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 COVENTRY LN # 5
Mailing Address - Street 2:
Mailing Address - City:EAST GREENBUSH
Mailing Address - State:NY
Mailing Address - Zip Code:12061-2310
Mailing Address - Country:US
Mailing Address - Phone:516-508-2886
Mailing Address - Fax:
Practice Address - Street 1:1005 COVENTRY LN # 5
Practice Address - Street 2:
Practice Address - City:EAST GREENBUSH
Practice Address - State:NY
Practice Address - Zip Code:12061-2310
Practice Address - Country:US
Practice Address - Phone:516-508-2886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-19
Last Update Date:2022-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health