Provider Demographics
NPI:1881721942
Name:ORANGE NEPHROLOGY, P.C.
Entity type:Organization
Organization Name:ORANGE NEPHROLOGY, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:REINHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-692-0560
Mailing Address - Street 1:682 E MAIN ST STE 2B
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:NY
Mailing Address - Zip Code:10940-2647
Mailing Address - Country:US
Mailing Address - Phone:845-692-0560
Mailing Address - Fax:845-692-0367
Practice Address - Street 1:682 E MAIN ST STE 2B
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:NY
Practice Address - Zip Code:10940-2647
Practice Address - Country:US
Practice Address - Phone:845-692-0560
Practice Address - Fax:845-692-0367
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2019-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY129656174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1922118215OtherNPI
NY1548370810OtherNPI