1730380932 NPI number — ORANGETOWN OPHTHALMOLOGY NY PC

Table of content: ALEXANDER A OCHS LCSW (NPI 1295207199)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1730380932 NPI number — ORANGETOWN OPHTHALMOLOGY NY PC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ORANGETOWN OPHTHALMOLOGY NY PC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1730380932
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/18/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2 CROSFIELD AVE
Provider Second Line Business Mailing Address:
STE 315
Provider Business Mailing Address City Name:
WEST NYACK
Provider Business Mailing Address State Name:
NY
Provider Business Mailing Address Postal Code:
10994-2220
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
845-348-3400
Provider Business Mailing Address Fax Number:
348-348-3438

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 CROSFIELD AVE
Provider Second Line Business Practice Location Address:
STE 315
Provider Business Practice Location Address City Name:
WEST NYACK
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
10994-2220
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
845-348-3400
Provider Business Practice Location Address Fax Number:
348-348-3438
Provider Enumeration Date:
05/29/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WOODWARD
Authorized Official First Name:
KIMBALL
Authorized Official Middle Name:
PRATT
Authorized Official Title or Position:
MD/OWNER
Authorized Official Telephone Number:
845-348-3400

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  167622 , registered in the state of NY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0402468 . This is a "GHI" identifier , issued by the state of ( NY ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com